| NPI | 1548364292 |
|---|---|
| Doing Business As | LACEY DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | BEN FLANAGAN VP 770-974-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE002433) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-03-02 |