Lacey Drug Company
LBN: Lacey Drug Company Inc
Lacey Drug Company is an health care organization with primary practice located at 4797 S Main St , Acworth GA 30101-5339. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lacey Drug Company Inc can be contacted via phone (770) 974-3131, or through Flanagan, Ben 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE002433 | Georgia |
Profile Details
| NPI number | 1548364292 |
|---|---|
| LBN Legal business name | Lacey Drug Company Inc |
| DBA Doing business as | Lacey Drug Company |
| Authorized official | Flanagan, Ben |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Mar 2nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548364292 | NPPES |
| Georgia | MEDICAID | 00030357 | |
| Georgia | MEDICAID | 30019170A | |
| Georgia | Other | 2016366 |
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