Candace Lane Altman, is a
Pharmacist based in Pembroke, Georgia. Candace Lane Altman is licensed to practice in Georgia (license number RPH031811) and her current practice location is
546 W Bacon St, Pembroke, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 653-1000.
NPI number for Candace Lane Altman is 1790311785 and her current mailing address is 546 W Bacon St, Pembroke, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790311785.
Healthcare Provider's Profile
| Full Name | Candace Lane Altman |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 546 W Bacon St, Pembroke, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790311785
- Provider Enumeration Date: 03/21/2020
- Last Update Date: 03/21/2020
Medical Identifiers
Medical identifiers for Candace Lane Altman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790311785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH031811 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Lane Altman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Candace Lane Altman,
546 W Bacon St,
Pembroke, GA 31321-4648
Ph: (912) 653-1000 | Candace Lane Altman,
546 W Bacon St,
Pembroke, GA 31321-4648
Ph: (912) 653-1000 |
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