Organization
LANIER PHARMACY ACQUISITION CORP.
Active
Other names
LANIER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ADAMS RPH (PRES/OWNER/RPH/AO)
(770) 536-8861
Entity
Organization
Contact information
Practice address
3560 THOMPSON BRIDGE RD, GAINESVILLE, GA 30506-1518
(770) 536-8861
(770) 503-1201
Mailing address
3560 THOMPSON BRIDGE RD, GAINESVILLE, GA 30506-1518
(770) 536-8861
(770) 503-1201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007887
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000673208A
—
GA
05
—
1038780001
—
GA
01
—
2013332
PK
—
Enumeration date
11/15/2006
Last updated
03/23/2017
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