NPI 1326605452
Lake Country Pharmacy LLC
Practice location
- Address
- 121 Harmony Xing STE 3, Eatonton, GA 31024-9573
- Phone
- (762) 777-7001
- Fax
- (762) 777-7002
Authorised official
- Name
- Carey A. Vaughan
- Title
- Owner
- Phone
- (762) 777-7001
Registered specialties (5)
Compounding Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Community/Retail Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1326605452
- Entity type
- Organization
- NPI issued
- 23 May 2019
- Record last updated
- 20 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.