Provider Demographics
NPI:1487435723
Name:HENDLEY, LAUREN ELIZABETH I (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:HENDLEY
Suffix:I
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 OLD GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:GA
Mailing Address - Zip Code:30425-3727
Mailing Address - Country:US
Mailing Address - Phone:478-290-9862
Mailing Address - Fax:
Practice Address - Street 1:507 S RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:TWIN CITY
Practice Address - State:GA
Practice Address - Zip Code:30471-4355
Practice Address - Country:US
Practice Address - Phone:478-763-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH034479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist