Organization · Type 2 NPI
Angus Lake Healthcare, LLC
Long Term Care Pharmacy · Gordon, GA
NPI number
1912340829
Active
Practice location
242 Milledgeville Hwy
Gordon, GA 31031-3827
Fax (478) 628-2263
Mailing address
PO Box 249
Gordon, GA 31031-0249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE009911 (GA) |
| Long Term Care Pharmacy Primary | 3336L0003X | PHRE009911 (GA) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1912340829
Angus Lake Healthcare, LLC's National Provider Identifier is 1912340829, issued on Apr 10, 2013. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Gordon, GA. The record was last updated on May 4, 2017.