Organization
LAMAR LINGENFELTER, INC
Active
Other names
Lamar's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD JORDAN PHARMD (OWNER/CHIEF PHARMACIST)
(912) 632-8925
Entity
Organization
Contact information
Practice address
905 S PIERCE ST, ALMA, GA 31510-3528
(912) 632-8925
(912) 632-2127
Mailing address
905 S PIERCE ST, ALMA, GA 31510-3528
(912) 632-8925
(912) 632-2127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5001
GA
3336C0003X
Community/Retail Pharmacy
Primary
5001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135836A
—
GA
05
—
654411735A
—
GA
Enumeration date
08/10/2006
Last updated
08/08/2024
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