# LAKELAND DRUG CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeland Drug Company
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811924756
- **Authorized official:** IVEY MCCURDY (PRESIDENT)
- **Authorized official phone:** (229) 482-3677

## Contact information

- **Practice address:** 42 W MAIN ST, LAKELAND, GA 31635-6835
- **Practice address phone:** (229) 482-3677
- **Practice address fax:** (229) 482-2072
- **Mailing address:** 42 W MAIN ST, LAKELAND, GA 31635-6835
- **Mailing address phone:** (229) 482-3677
- **Mailing address fax:** (229) 482-2072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE003271 | GA | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 11/24/2021