| NPI | 1023123825 |
|---|---|
| Doing Business As | LACEYS LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BENNIE FLANAGAN V P 678-236-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE008914) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-09-14 |