<Unavail>

LBN: Lanier Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 3560 Thompson Bridge Rd , Gainesville GA 30506-1518. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lanier Pharmacy, Llc can be contacted via phone (770) 536-8861, or through Crow, Russell via phone (770) 536-8861.

Contact Information

Primary practice address
3560 Thompson Bridge Rd Gainesville GA 30506-1518
Phone: (770) 536-8861
Fax: (770) 503-1201
Website:
Map and Directions
Authorized official contact:
Name: Crow, Russell
Phone: (770) 536-8861

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010420 Georgia

Profile Details

NPI number 1417463738
LBN Legal business name Lanier Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Crow, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2017
Last updated Jul 19th, 2018 - 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 1417463738 NPPES
Other 2175196 PK
MEDICAID 000673208A PK

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