National Provider Identifier Database

MAYO CLINIC HEALTH SYSTEM IN WAYCROSS
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

MAYO CLINIC HEALTH SYSTEM IN WAYCROSS
1900 TEBEAU STREET
WAYCROSS, GA31501-5246
Phone: 912-287-2640
Fax:
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for MAYO CLINIC HEALTH SYSTEM IN WAYCROSS

NPI Number 1831393107
Legal business name
LBN
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS
Authorized official BENJAMIN WHEELER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 06/12/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE005914
  • GA Other: 108000306 MEDCO
  • GA Other: 1155476 NCPDP
  • GA Other: PHRE005914 PHARMACY LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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