Satilla Life Care is a Pharmacy in Waycross, Georgia. Satilla Life Care practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Satilla Life Care is 1033117304. The last update date is 2023-09-06.
Satilla Life Care's current location address is 2007 Tebeau St, Waycross, Georgia. You can contact this provider via phone number 9122859153. The mailing address for Satilla Life Care is 2007 Tebeau St, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Satilla Life Care |
|---|---|
| Address | 2007 Tebeau St, Waycross, Georgia |
| Phone Number | 9122859153 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPT. HEAD |
|---|---|
| Authorized Official Name | Wheeler Randolph Benjamin |
| Credentials | RPH |
| Telephone Number | 9122872506 |
NPI Number Detail
| NPI Number | 1033117304 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 2007 Tebeau St |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315016358 |
| Phone Number | 9122859153 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHRE00764 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHRE00764 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Satilla Life Care by the Centers for Medicare & Medicaid Services?
The Satilla Life Care has been issued the NPI (National Provider Identifier) 1033117304 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Satilla Life Care?
The Satilla Life Care is physically situated at 2007 Tebeau St, in the city of Waycross, state of GA, with the postal code 315016358.
What is Satilla Life Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Satilla Life Care's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033117304 to Satilla Life Care?
The Centers for Medicare & Medicaid Services assigned the 1033117304 to Satilla Life Care on 2005-07-12.
As of what date was the information regarding Satilla Life Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Satilla Life Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-06.