Lacey Drug Company Inc
Durable Medical Equipment & Medical Supplies
790 Church St Ne Ste 210, Marietta
Georgia, 30060-8950
770-424-3131 770-424-2935
Lacey Drug Company Inc is not a DME supplier for medicare equipments and products.
Lacey Drug Company Inc is a Durable Medical Equipment & Medical Supplies in Marietta, Georgia. It is located at 790 Church St Ne Ste 210, Marietta and it's customer support contact number is 770-424-3131. The authorized person of Lacey Drug Company Inc is Larry Lindsey Braden who is Manager of the pharmacy and his contact number is 770-424-3131. Active license number of Lacey Drug Company Inc is PHRE007082 for Durable Medical Equipment & Medical Supplies in Georgia.
Lacey Drug Company Inc 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:
Lacey Drug Company Inc 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: | Lacey Drug Company Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 790 Church St Ne Ste 210, Marietta, Georgia, 30060-8950 |
| Phone: | 770-424-3131 |
| Fax: | 770-424-2935 |
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: | Larry Lindsey Braden |
| Position: | Manager |
| Contact Number: | 770-424-3131 |
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: | 1982713566 |
| NPI Enumeration Date: | 29 Aug, 2006 |
| NPI Last Update On: | 10 Sep, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lacey Drug Company Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | PHRE007082 | Georgia | Primary | |
| Customized Equipment | PHRE007082 | Georgia | Secondary | |
| Parenteral & Enteral Nutrition | PHRE007082 | Georgia | Secondary | |
| Oxygen Equipment & Supplies | PHRE007082 | Georgia | Secondary | |
| Pharmacy | PHRE007082 | Georgia | Secondary | |
| Community/Retail Pharmacy | PHRE007082 | Georgia | Secondary | |
| Home Infusion Therapy Pharmacy | PHRE007082 | Georgia | Secondary | |
| Long Term Care Pharmacy | PHRE007082 | Georgia | Secondary | |
| Mail Order Pharmacy | PHRE007082 | Georgia | Secondary | |
| Specialty Pharmacy | PHRE007082 | 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 |
| 00404137A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 790 Church St Ne, Suite 170 Marietta, Georgia |
| Zip: | 30060-7282 |
| Phone Number: | 770-424-3131 |
| Fax Number: | 770-424-2935 |
Patients can reach Lacey Drug Company Inc at
790 Church St Ne Ste 210, Marietta, Georgia or can
call on customer care at 770-424-3131.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.