Organization
UNISON BEHAVIORAL HEALTH PHARMACY
Active
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
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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