Healthcare Provider Details

I. General information

NPI: 1376652099
Provider Name (Legal Business Name): LEDFORD RX EXPRESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N MAIN ST
LA FAYETTE GA
30728-2150
US

IV. Provider business mailing address

1201 N MAIN ST
LA FAYETTE GA
30728-2150
US

V. Phone/Fax

Practice location:
  • Phone: 706-638-1281
  • Fax: 706-638-1283
Mailing address:
  • Phone: 706-638-1281
  • Fax: 706-638-1283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE008978
License Number StateGA

VIII. Authorized Official

Name: LORA HUTCHERSON
Title or Position: OWNER/PIC
Credential: PHARM.D
Phone: 706-638-1281