Organization
LAKELAND DRUG CO
Active
Other names
Lakeland Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
IVEY MCCURDY (PRESIDENT)
(229) 482-3677
Entity
Organization
Contact information
Practice address
42 W MAIN ST, LAKELAND, GA 31635-6835
(229) 482-3677
(229) 482-2072
Mailing address
42 W MAIN ST, LAKELAND, GA 31635-6835
(229) 482-3677
(229) 482-2072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030456B
—
GA
01
—
2136987
PK
—
Enumeration date
06/27/2006
Last updated
11/24/2021
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