Lake Country Pharmacy & Compounding Center

LBN: Compounding Specialists At Lake Oconee Inc
Lake Country Pharmacy & Compounding Center is an health care organization with primary practice located at 1110 Commerce Dr Ste 110 , Greensboro GA 30642-7444. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Compounding Specialists At Lake Oconee Inc can be contacted via phone (706) 923-2933, or through Vaughan, Carey via phone (706) 923-2933.

Contact Information

Primary practice address
1110 Commerce Dr Ste 110 Greensboro GA 30642-7444
Phone: (706) 923-2933
Fax: (706) 923-2930
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Carey PHARMD
Phone: (706) 923-2933

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009902 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336323567
LBN Legal business name Compounding Specialists At Lake Oconee Inc
DBA Doing business as Lake Country Pharmacy & Compounding Center
Authorized official Vaughan, Carey PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2007
Last updated Feb 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336323567 NPPES
Other 2117665 PK
MEDICAID 003130409A PK

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