Laceys Ltc Pharmacy

LBN: Lacey Drug Company Inc
Laceys Ltc Pharmacy is an health care organization with primary practice located at 4469 Lemon St , Acworth GA 30101-5418. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lacey Drug Company Inc can be contacted via phone (678) 236-0400, or through Flanagan, Bennie via phone (678) 236-0400.

Contact Information

Primary practice address
4469 Lemon St Acworth GA 30101-5418
Phone: (678) 236-0400
Fax: (678) 236-0404
Website:
Map and Directions
Authorized official contact:
Name: Flanagan, Bennie
Phone: (678) 236-0400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE008914 Georgia

Profile Details

NPI number 1023123825
LBN Legal business name Lacey Drug Company Inc
DBA Doing business as Laceys Ltc Pharmacy
Authorized official Flanagan, Bennie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 14th, 2016 - about 10 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 1023123825 NPPES
Georgia MEDICAID 30357C
Georgia Other 2015785

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