Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGUS LAKE HEALTHCARE, LLC
Active OrganizationANGUS LAKE HEALTHCARE, LLC is a Retail Pharmacy organization located in GORDON, Georgia. NPI 1912340829 is currently active in the NPPES registry. Verify at CMS.
Retail Pharmacy · GORDON, GA
Registration Details
- NPI Number
- 1912340829
- Provider Type
- Organization
- NPI Issued
- Apr 10, 2013 (13.331249212538 yrs)
- Last Updated
- May 4, 2017
- Licenses
-
PHRE009911 (GA)PHRE009911 (GA)
Practice Information
- Address
-
242 MILLEDGEVILLE HWYGORDON, GA, 310313827Browse GA providers · Browse ZIP 31031
- Phone
- 2295205151
- Fax
- 4786282263
- Primary Specialty
-
Retail Pharmacy
3336L0003X
- Additional Specialty
- Retail Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.