Organization
SAKS GA LLC
Active
Other names
15MINRX
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN WADHWA (AO)
(912) 226-7622
Entity
Organization
Contact information
Practice address
2714 OSBORNE RD STE K, SAINT MARYS, GA 31558-4050
(904) 368-6785
Mailing address
PO BOX 600841, SAINT JOHNS, FL 32260-0841
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
02/16/2024
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