Organization Name: | UNISON BEHAVIORAL HEALTH PHARMACY |
NPI Number: | 1073568838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY LYNN SIMPSON (PHARMACIST IN CHARGE) |
Mailing Address: | 1007 Mary Street Waycross |
State: | GA US |
Postal Code: | 31501 |
Phone Number: | 9124497147 |
Fax Number: | 9124497089 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 5641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |