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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