LAKE COUNTRY PHARMACY LLC

Compounding Pharmacy · EATONTON, GA

Organization Active NPI 1326605452

Medicare payment data Part B · 2022

YearBeneficiariesServicesSubmittedAllowedPaid
2022120139$12,459$5,018$5,018

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Compounding Pharmacy3336C0004X
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X
Community/Retail Pharmacy3336C0003X
Long Term Care Pharmacy3336L0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.