# SOUTHERN CRESCENT PHARMACY INC

> 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:** LAMBERT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720037955
- **Authorized official:** CARLA BONNER (PRESIDENT)
- **Authorized official phone:** (770) 463-4031

## Contact information

- **Practice address:** 405 CARLTON RD, PALMETTO, GA 30268-1052
- **Practice address phone:** (770) 463-4031
- **Practice address fax:** (770) 463-4946
- **Mailing address:** PO BOX 1549, PALMETTO, GA 30268-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008980 | GA | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 03/16/2011