Organization
ANGUS LAKE HEALTHCARE, LLC
Active
Other names
Gordon Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA SAPPE PHARMD (PHARMACIST IN CHARGE)
(478) 628-2425
Entity
Organization
Contact information
Practice address
240 MILLEDGEVILLE HWY # A, GORDON, GA 31031-3827
(478) 628-2425
(478) 628-2263
Mailing address
PO BOX 249, 240A MILLEDGEVILLE ROAD, GORDON, GA 31031-0249
(478) 628-2425
(478) 628-2263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008912
GA
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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