Lee Goodrum Pharmacy Inc
Community/Retail Pharmacy
40 Hospital Rd, Newnan
Georgia, 30263-1201
770-253-1121 770-253-3572
Lee Goodrum Pharmacy Inc is a Community/Retail Pharmacy in Newnan, Georgia. It is located at 40 Hospital Rd, Newnan and it's customer support contact number is 770-253-1121. The authorized person of Lee Goodrum Pharmacy Inc is John Goodrum, BS PHARMACY who is Ceo of the pharmacy and his contact number is 770-253-1121. Active license number of Lee Goodrum Pharmacy Inc is PHRE006304 for Community/Retail Pharmacy in Georgia. Lee Goodrum Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lee Goodrum Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Lee Goodrum Pharmacy 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: | Lee Goodrum Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 40 Hospital Rd, Newnan,
Georgia, 30263-1201 |
| Phone: | 770-253-1121 |
| Fax: | 770-253-3572 |
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: | John Goodrum |
| Credentials: | BS PHARMACY |
| Position: | Ceo |
| Contact Number: | 770-253-1121 |
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: | 1053332015 |
| NPI Enumeration Date: | 22 Jul, 2006 |
| NPI Last Update On: | 25 Apr, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lee Goodrum Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE006304 | Georgia | Primary | |
| Pharmacy | | | 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 |
| 00285051A | Medicaid | Georgia | |
| 2014853 | Other | | Pk |
Medicare Enrollment:
Lee Goodrum Pharmacy Inc 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 |
| 1759677909 | O20160914001229 | Lee Goodrum Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 40 Hospital Rd,
Newnan, Georgia |
| Zip: | 30263-1201 |
| Phone Number: | 770-253-1121 |
| Fax Number: | 770-253-3572 |
Patients can reach Lee Goodrum Pharmacy Inc at
40 Hospital Rd, Newnan, Georgia or can
call on customer care at 770-253-1121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.