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LACEY DRUG COMPANY INC

Medical Equipment Supplier Yellow Pages

Acworth, Georgia

Provider NPI: 1023123825

Organization Information:
Organization Name:  LACEY DRUG COMPANY INC


Practice Location:
4469 LEMON ST  ACWORTH, GA 30101 US
Tel: 678-236-0400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy
GAPHRE008914

Other Provider Identifiers:

IssuerNumberStateType
30357CGA05
PK201578501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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