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Organization

BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE

Active
Parent organization
BAXLEY WELLNESS PHARMACY INC
Other names
Baxley Wellness Pharmacy Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAXLEY WELLNESS PHARMACY INC
Authorized official
BRIANA BAXLEY AYCOCK (OWNER)
(912) 245-4270
Entity
Organization

Contact information

Practice address
160 AZALEA RD, BAXLEY, GA 31513-9195
(912) 705-3784
(912) 705-7819
Mailing address
160 AZALEA RD, BAXLEY, GA 31513-9195
(912) 705-3784
(912) 705-7819

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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