Corley Drugs #3

LBN: Corley & Mcclendon, Inc
Corley Drugs #3 is an health care organization with primary practice located at 820 North Greenwood Street , Lagrange GA 30240. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Corley & Mcclendon, Inc can be contacted via phone (706) 882-4960, or through Cochran, James David via phone (706) 884-2661.

Contact Information

Primary practice address
820 North Greenwood Street Lagrange GA 30240
Fax: (706) 882-1149
Website:
Authorized official contact:
Name: Cochran, James David RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE006331 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1205855129
LBN Legal business name Corley & Mcclendon, Inc
DBA Doing business as Corley Drugs #3
Authorized official Cochran, James David RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205855129 NPPES
Other 1128479 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 00290364A OTHER ID NUMBER-COMMERCIAL NUMBER
Other 1205855129 OTHER ID NUMBER-COMMERCIAL NUMBER

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