NPI 1710441621
Southern Pharmacare LLC
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
Pharmacy
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.