Angus Lake Infusion Services

NPI #1063855211 in Gordon, Georgia

Provider Information

NPI Number
1063855211
Entity Type
Organization
Organization Name
Angus Lake Infusion Services
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 8, 2013
Last Updated
Oct 18, 2013

Practice Location

Address
240 MILLEDGEVILLE RD
Address 2
SUITE B
City
Gordon
State
Georgia
ZIP Code
31031-3827
Phone
(478) 387-2399

Authorized Official

Name
CARL LAKE STANLEY JR., RPH
Title
MEMBER
Phone
(478) 387-2399

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Home Infusion Therapy PharmacyHome Infusion Therapy Pharmacy
Durable Medical Equipment & Medical Supplies

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