Organization
THE MEDICINE CABINET OF WAYCROSS DOWNTOWN LLC
Active
Other names
THE MEDICINE CABINET OF WAYCROSS - DOWNTOWN, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON MEEKS (OWNER)
(912) 383-8510
Entity
Organization
Contact information
Practice address
620 TEBEAU ST, WAYCROSS, GA 31501-4728
(912) 283-2772
(912) 284-0009
Mailing address
620 TEBEAU ST, WAYCROSS, GA 31501-4728
(912) 283-2772
(912) 284-0009
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005927
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507064A
—
GA
01
—
2012895
PK
—
Enumeration date
04/19/2006
Last updated
02/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up