LACEY DRUG CO. INC. NPI 1477657898

NPI Information

  • NPI: 1477657898
  • Provider Name: LACEY DRUG CO., INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: LACEY'S MARIETTA PHARMACY
  • Address: 790 CHURCH ST NE STE 210
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 424-3131

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NPI Details

LACEY DRUG CO., INC. is a community/retail pharmacy pharmacy in Marietta, GA. The provider 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. LACEY DRUG CO., INC. NPI is 1477657898. The provider is registered as an organization entity type.
The provider Is Doing Business As Lacey's Marietta Pharmacy.

The provider's business location address is:

790 CHURCH ST NE STE 210
MARIETTA, GA
ZIP 30060-950
Phone: (770) 424-3131
Fax: (770) 424-2935

The provider's authorized official is Larry L Braden .
The authorized official title is Owner and has the following contact phone number (770) 974-5234.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesPHRE007082GEORGIANo
2333600000XPharmacyPHRE007082GEORGIANo
33336C0004XPharmacyCompounding PharmacyPHRE007082GEORGIANo
43336H0001XPharmacyHome Infusion Therapy PharmacyPHRE0070082GEORGIANo
53336C0003XPharmacyCommunity/Retail PharmacyPHRE007082GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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