Angus Lake Infusion Services
Durable Medical Equipment & Medical Supplies
240 Milledgeville Rd, Suite B, Gordon
Georgia, 31031-3827
478-387-2399 478-628-2263
Angus Lake Infusion Services is a Durable Medical Equipment & Medical Supplies in Gordon, Georgia. It is located at 240 Milledgeville Rd, Suite B, Gordon and it's customer support contact number is 478-387-2399. The authorized person of Angus Lake Infusion Services is Carl Lake Stanley Jr., RPH who is Member of the pharmacy and his contact number is 478-387-2399. Active license number of Angus Lake Infusion Services is PHHH000055 for Durable Medical Equipment & Medical Supplies in Georgia. Angus Lake Infusion Services accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Angus Lake Infusion Services is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Angus Lake Infusion Services type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Angus Lake Infusion Services |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 240 Milledgeville Rd, Suite B, Gordon,
Georgia, 31031-3827 |
| Phone: | 478-387-2399 |
| Fax: | 478-628-2263 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Carl Lake Stanley Jr. |
| Credentials: | RPH |
| Position: | Member |
| Contact Number: | 478-387-2399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1063855211 |
| NPI Enumeration Date: | 08 Apr, 2013 |
| NPI Last Update On: | 18 Oct, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angus Lake Infusion Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | PHHH000055 | Georgia | Primary | |
| Parenteral & Enteral Nutrition | PHHH000055 | Georgia | Secondary | |
| Compounding Pharmacy | PHHH000055 | Georgia | Secondary | |
| Home Infusion Therapy Pharmacy | PHHH000055 | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 003137168A | Medicaid | Georgia | |
Medicare Enrollment:
Angus Lake Infusion Services is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395971121 | O20131126000848 | Angus Lake Infusion Services | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH REGISTERED PHARMACIST |
Products Available:
Angus Lake Infusion Services has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Implanted Infusion |
| • Infusion Pumps & Supplies: Insulin Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 249,
Gordon, Georgia |
| Zip: | 31031-0249 |
| Phone Number: | 478-387-2399 |
| Fax Number: | 478-628-2263 |
Patients can reach Angus Lake Infusion Services at
240 Milledgeville Rd, Suite B, Gordon, Georgia or can
call on customer care at 478-387-2399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.