Wayne Memorial Hospital Pharmacy Retail
General Acute Care Hospital in Jesup, GA. Organization (NPI-2).
NPI number1649650656
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1649650656
- Entity type
- Organization (NPI-2)
- Legal business name
- Wayne Memorial Hospital Pharmacy Retail
- Organization subpart
- No
- Enumeration date
- Jun 4, 2015
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | PHRE010123 | GA | Yes |
Practice location
865 S 1st StJesup, GA 31545-0210
Phone 912-530-3367 · Fax 912-530-3370
Mailing address
865 S 1st StJesup, GA 31545-0210
Phone 912-530-3367 · Fax 912-530-3370
Authorized official
Elizabeth Hendrix Gorse
Director Of Pharmacy
9125303367
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