Organization
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Active
Other names
Institutional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS CARBAUGH BSPH, R.PH. (OPERATIONS MANAGER)
(912) 285-9164
Entity
Organization
Contact information
Practice address
2007 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-9164
Mailing address
2007 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-9164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001229C
—
GA
Enumeration date
07/13/2005
Last updated
09/05/2012
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