NPI | 1861176877 |
---|---|
Doing Business As | BAXLEY WELLNESS PHARMACY INC |
Entity Type | Organization |
Authorized Contact | BRIANA BAXLEY AYCOCK Owner 912-245-4270 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-06-12 |