Angus Lake Vital Care is an authorized DME supplier for medicare equipments and products.
Angus Lake Vital Care is a Durable Medical Equipment & Medical Supplies in Gordon, Georgia. This pharmacy is owned and operated by Angus Lake Infusion Services. 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 Vital Care 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 Vital Care is PHHH000055 for Durable Medical Equipment & Medical Supplies in Georgia. Angus Lake Vital Care accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Angus Lake Vital Care 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 Vital Care 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 Vital Care
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 Vital Care 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 Vital Care 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 Vital Care 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 Vital Care at 240 Milledgeville Rd, Suite B, Gordon, Georgia or can call on customer care at 478-387-2399.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Gordon, Georgia
Gordon Drug Company Address: 240 Milledgeville Road, Gordon, GA Phone: 478-628-2425 Fax: 478-628-2263Gordon Compounding Pharmacy Speciality:Community/Retail Pharmacy Address: 240 Milledgeville Hwy # A, Gordon, GA Phone: 478-628-2425 Fax: 478-628-2263Angus Lake Healthcare, Llc Address: 242 Milledgeville Hwy, Gordon, GA Phone: 229-520-5151 Fax: 478-628-2263