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Angus Lake Healthcare, LLC — NPI 1275637787, Gordon, GA | NPI Central

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NPI 1275637787

OrganizationActive

Angus Lake Healthcare, LLC

NPI 1275637787 · Community/Retail Pharmacy · Gordon, GA

Provider details

NPI number: 1275637787
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Carla Sappe, Pharmacist in Charge(478) 628-2425
License: PHRE008912 (GA)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense PHRE008912 (GA)
Suppliers

Practice location

240 Milledgeville Hwy # a

Gordon, GA 31031-3827

Phone: (478) 628-2425

Fax: (478) 628-2263

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 249

Gordon, GA 31031-0249

Other names (DBA / former)

Doing business as: Gordon Compounding Pharmacy

Registry dates

Enumerated: 2006-09-13
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.