Organization
LANE'S PHARMACY & DME INC
Active
Other names
LANES MEDICAL SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LANE (CEO)
(229) 758-9111
Entity
Organization
Contact information
Practice address
210 W MAIN ST, SUITE 3, COLQUITT, GA 39837-3433
(229) 758-9111
(229) 758-9000
Mailing address
210 W MAIN ST, SUITE 3, COLQUITT, GA 39837-3433
(229) 758-9111
(229) 758-9000
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/10/2005
Last updated
02/27/2008
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