# L M BASS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Max Brown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528018413
- **Authorized official:** MR. BLAKELY SUTTON DENNARD RPH (OWNER)
- **Authorized official phone:** (912) 529-4545

## Contact information

- **Practice address:** 809 N JEFFERSON STREET, DUBLIN, GA 31021-6305
- **Practice address phone:** (478) 272-8086
- **Practice address fax:** (478) 274-1171
- **Mailing address:** 794 SECOND STREET, SOPERTON, GA 30457
- **Mailing address phone:** (912) 529-4545
- **Mailing address fax:** (912) 529-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/16/2022