Lacey Drug Company, Inc

LBN: Lacey Drug Company, Inc
Lacey Drug Company, Inc is an health care organization with primary practice located at 4797 S Main St , Acworth GA 30101-5339. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lacey Drug Company, Inc can be contacted via phone (770) 974-3131, or through Jerauld, Carol via phone (770) 974-3131.

Contact Information

Primary practice address
4797 S Main St Acworth GA 30101-5339
Phone: (770) 974-3131
Fax: (770) 975-9735
Website:
Map and Directions
Authorized official contact:
Name: Jerauld, Carol
Phone: (770) 974-3131

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1831273747
LBN Legal business name Lacey Drug Company, Inc
DBA Doing business as
Authorized official Jerauld, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 7th, 2008 - about 18 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 1831273747 NPPES
Georgia MEDICAID 00030357B

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