Lane'S Pharmacy & DME Inc

Organization Active NPI Oxygen Equipment & Supplies (DME) · Colquitt, GA

NPI 1679567168 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1679567168
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
LANE'S PHARMACY & DME INC
Practice address
210 W Main St
Suite 3
Colquitt, GA 39837-3433
Phone
(229) 758-9111
Fax
(229) 758-9000
NPI assigned
Sep 10, 2005
Organization subpart
No

Authorized official

Name
Mr. Larry Lane
Title
Ceo
Phone
(229) 758-9111

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lane'S Pharmacy DME Inc (2 organizations share this tax ID)

Locations

210 W Main St
Ste 3
Colquitt, GA 39837
Phone (229) 758-9111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

210 W Main St
Suite 3
Colquitt, GA 39837-3433

Mailing address

210 W Main St
Suite 3
Colquitt, GA 39837-3433
Phone (229) 758-9111

Other names

  • LANES MEDICAL SHOPPE Doing business as

Other providers in Colquitt, GA

All providers in Colquitt, GA · Oxygen Equipment & Supplies (DME) in Georgia

Sources for this page

Verify at the official NPI Registry.