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Lake Country Pharmacy LLC

Compounding Pharmacy in Eatonton, GA · enumerated 2019 · authorized official Carey Vaughan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326605452

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Country Pharmacy LLC
Other name <Unavail>
Practice address 121 Harmony Xing Ste 3, Eatonton, GA, 31024
Phone (762) 777-7001
Fax (762) 777-7002
Enumeration date May 23, 2019
Last updated in NPPES Jan 20, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Carey Vaughan
Title Owner
Phone (762) 777-7001

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lake Country Pharmacy LLC located?
The practice location on file with NPPES is in Eatonton, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-01-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-20.