# LACEY DRUG COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LACEY DRUG COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548364292
- **Authorized official:** BEN FLANAGAN (VP)
- **Authorized official phone:** (770) 974-3131

## Contact information

- **Practice address:** 4797 S MAIN ST, ACWORTH, GA 30101-5339
- **Practice address phone:** (770) 974-3131
- **Practice address fax:** (770) 975-9735
- **Mailing address:** 4797 S MAIN ST, ACWORTH, GA 30101-5339
- **Mailing address phone:** (770) 974-3131
- **Mailing address fax:** (770) 975-9735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE002433 | GA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 03/02/2016