Healthcare Provider Details

I. General information

NPI: 1356688295
Provider Name (Legal Business Name): WILLIAM ROGER LANIER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 PEACHTREE RD NE
BROOKHAVEN GA
30319-3300
US

IV. Provider business mailing address

3871 PEACHTREE RD NE
BROOKHAVEN GA
30319-3300
US

V. Phone/Fax

Practice location:
  • Phone: 404-240-2812
  • Fax:
Mailing address:
  • Phone: 770-971-8661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH021758
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: