Carolyn Lott Florence, RPH
Individual provider Active NPI Pharmacist · Lafayette, GA
NPI 1043312416 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1043312416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11833 (GA)
- Practice address
- 324 West Patton St
Lafayette, GA 30728-0791 - Phone
- (706) 638-3114
- Fax
- (706) 638-7713
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11833 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Drugs LTD | Current | Accepting new patients | |
| Medi Thrift Inc | Current |
Accepting new patients | |
| Medi Thrift Inc | Current | Accepting new patients |
Locations
324 W Patton St
La Fayette, GA 30728
Phone (706) 638-3114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11833 | GA | Yes |
Addresses
Primary practice location
324 West Patton St
Lafayette, GA 30728-0791
Mailing address
PO Box 791
La Fayette, GA 30728-0791
Phone (706) 638-3114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00182762B | Medicaid | GA | |
| 00182762A | Medicaid | GA |
Other names
- Mrs. Carolyn Lott Florence
Other providers in Lafayette, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.