Angus Lake Healthcare, LLC
NPI #1912340829 in Gordon, Georgia
Provider Information
- NPI Number
- 1912340829
- Entity Type
- Organization
- Organization Name
- Angus Lake Healthcare, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Apr 10, 2013
- Last Updated
- May 4, 2017
Practice Location
Authorized Official
- Name
- CARL LAKE STANLEY JR., RPH
- Title
- MEMBER
- Phone
- (229) 520-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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