BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE; NPI #1861176877

Contact Information

BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE

160 AZALEA RD
BAXLEY, GA 31513-9195

Phone: 912-705-3784
Fax: 912-705-7819
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE

NPI Number	`1861176877`
LBN Legal business name	BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE
Authorized official	BRIANA AYCOCK - (OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	06/12/2023
Last updated	06/12/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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