Organization
RLS INC
Active
Other names
LANE'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L SMITH R.PH. (PRESIDENT)
(229) 246-1200
Entity
Organization
Contact information
Practice address
823 S SCOTT ST, BAINBRIDGE, GA 39819-8702
(229) 246-1200
(229) 243-8146
Mailing address
823 S SCOTT ST, BAINBRIDGE, GA 39819-8702
(229) 246-1200
(229) 243-8146
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005585
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030555A
—
GA
05
—
000030555B
—
GA
01
—
1028001
UNITED HEALTHCARE PROV ID
GA
Enumeration date
10/31/2006
Last updated
02/05/2009
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