Organization · Type 2 NPI

Lacey Drug Co., Inc.

Community/Retail Pharmacy · Marietta, GA

NPI number 1477657898 Active

Practice location

790 Church St NE Ste 210
Marietta, GA 30060-8950

Call (770) 424-3131 Map

Fax (770) 424-2935

Mailing address

790 Church St NE, Suite 170
Marietta, GA 30060-7282

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PHRE007082 (GA)
Pharmacy	333600000X	PHRE007082 (GA)
Community/Retail Pharmacy Primary	3336C0003X	PHRE007082 (GA)
Compounding Pharmacy	3336C0004X	PHRE007082 (GA)
Home Infusion Therapy Pharmacy	3336H0001X	PHRE0070082 (GA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Marietta

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NPI record

NPI: 1477657898
Entity type: Organization (Type 2)
Issued: Sep 8, 2006
Last updated: Oct 8, 2019
Status: Active

Other names

<unavail>
Lacey's Marietta Pharmacy · doing business as
Lacey's Marietta Pharmacy · doing business as

Authorized official

Mr. Larry L Braden, RPH
Owner
(770) 974-5234

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477657898

Lacey Drug Co., Inc.'s National Provider Identifier is 1477657898, issued on Sep 8, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Marietta, GA. The record was last updated on Oct 8, 2019.