Whalio Doctors

NPI 1710441621

Southern Pharmacare LLC

Organisation Community/Retail Pharmacy Baxley, GA

Practice location

Address
73 SW Park Ave, Baxley, GA 31513
Phone
(912) 367-2488
Fax
(912) 367-7235
Mailing address
711 Lambert Bennett Rd, Jesup, GA 31546

Authorised official

Name
Travis Ray Harrison
Title
Owner
Phone
(912) 294-1684

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1710441621
Entity type
Organization
NPI issued
24 Jan 2019
Record last updated
7 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.