Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Country Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1326605452

Lake Country Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Eatonton, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Harmony Xing Ste 3
Eatonton, GA 31024-9573
Phone: (762) 777-7001
Fax: (762) 777-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1326605452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Vaughan — Owner · (762) 777-7001
Other names Lake Country Compounding & Wellness
NPI enumeratedMay 23, 2019
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address121 Harmony Xing Ste 3, Eatonton, GA 31024-9573

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