Lacey Drug Company Inc

NPI 1023123825 - Pharmacy - 3336L0003X

NPI Details
NPI 1023123825
Enumeration Date 08/20/2006
Last Updated 03/02/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BENNIE BENNIE
Position V-P
Phone (678) 236-0400
Fax (678) 236-0404
Practice Location
4469 LEMON ST
ACWORTH GA, 30101-5418, US
Phone (678) 236-0400
Fax (678) 236-0404
Business Location
4469 LEMON ST
ACWORTH GA, 30101-5418, US
Phone (678) 236-0400
Fax (678) 236-0404
Toxanomy
Taxonomy Code 3336L0003X
License State Georgia
License Number PHRE008914
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According to our database, Lacey Drug Company Inc NPI is 1023123825, taxonomy code is 3336L0003X and license number is PHRE008914, license state is located at Georgia. Lacey Drug Company Inc physically located at 4469 Lemon St, Acworth GA, 30101-5418. NPI Number 1033115704 has the healthcare provider type.

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1023123825 NPI number is provided on an as is basis without warranty of any kind. 1023123825 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Drug Company Inc are for informational purposes only.