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
Phone: (706) 882-4960
Fax: (706) 882-1149
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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