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GARDEN LAKES PHARMACY NPI 1750418265


NPI Information

NPI: 1750418265
Provider Name: GARDEN LAKES PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2022 REDMOND CIR NW
ROME, GA
ZIP 30165
Phone: (706) 378-7945
Get Directions

GARDEN LAKES PHARMACY is a pharmacy in Rome, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GARDEN LAKES PHARMACY NPI is 1750418265. The provider is registered as an organization entity type.

The provider's business location address is:

2022 REDMOND CIR NW
ROME, GA
ZIP 30165-322
Phone: (706) 378-7945
Fax: (706) 378-7949

The provider's authorized official is Donald L Henderson .
The authorized official title is Owner Pharmacist and has the following contact phone number (706) 378-7945.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE008455GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100886916AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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