MEDICARE: DR. LAUREN ELIZABETH HENDLEY I PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH034479	GA

General Provider Information

NPI Number	:	1487435723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ELIZABETH HENDLEY I PHARMD

Provider Business Mailing Address
First Line	:	736 OLD GARFIELD RD
Second Line	:
City	:	GARFIELD
State	:	GA
Zip	:	30425-3727
Country	:	US
Telephone Number	:	478-290-9862
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 S RAILROAD AVE
Second Line	:
City	:	TWIN CITY
State	:	GA
Zip	:	30471-4355
Country	:	US
Telephone Number	:	478-763-2151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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