Organization
UNISON BEHAVIORAL HEALTH PHARMACY
Active
Other names
Satilla Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY LYNN SIMPSON R.PH. (PHARMACIST IN CHARGE)
(912) 449-7147
Entity
Organization
Contact information
Practice address
1007 MARY STREET, WAYCROSS, GA 31501
(912) 449-7147
(912) 449-7089
Mailing address
1007 MARY STREET, WAYCROSS, GA 31501
(912) 449-7147
(912) 449-7089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
3336C0002X
Clinic Pharmacy
5641
GA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00611014A
—
GA
01
—
1115775
NABP
—
05
—
PHRE005641
—
GA
Enumeration date
05/23/2006
Last updated
09/30/2013
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