Organization
OKEFENOKEE PHARMACY OF WAYCROSS, LLC DBA BATTEN'S PRESCRIPTION SHOPPE
Active
Other names
Batten's Prescription Shoppe, Guardian Pharmacy of Waycross, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MCDONALD (EXECUTIVE MANAGER / CO-OWNER)
(912) 283-1646
Entity
Organization
Contact information
Practice address
1401 ALICE ST, WAYCROSS, GA 31501-4528
(912) 283-1646
(912) 283-5383
Mailing address
1401 ALICE ST, WAYCROSS, GA 31501-4528
(912) 283-1646
(912) 283-5383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00219051A
—
GA
01
—
1124318
NCPDP
—
Enumeration date
04/21/2006
Last updated
02/27/2023
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