GUARDIAN PHARMACY OF WAYCROSS, LLC
1401 Alice St
Waycross, GA 31501
912-283-1646
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | GA | PHRE006029 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00219051A | GA | MEDICAID |