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Contact Information

CORLEY & MCCLENDON, INC.
18 NEW AIRPORT ROAD
LAGRANGE, GA30240
 Phone: 706-884-2517
 Fax: 706-882-3818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORLEY & MCCLENDON, INC.

NPI # 1396764213
LBN Legal business name CORLEY & MCCLENDON, INC.
Authorized official JAMES COCHRAN - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
GA License # PHRE007019
GA Medicaid 000383666A
GA Medicaid 00383666A
Other 1133393 NCPDP#
Other 1396764213 NPI
GA Other PHRE007019 STATE PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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