National Provider Identifier Database

CORLEY MCCLENDON INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CORLEY & MCCLENDON, INC
820 NORTH GREENWOOD STREET
LAGRANGE, GA30240
Phone: 706-882-4960
Fax: 706-882-1149
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for CORLEY & MCCLENDON, INC

NPI Number 1205855129
Legal business name
LBN
CORLEY & MCCLENDON, INC
Authorized official JAMES COCHRAN - (OWNER/PHARMACIST)
Entity Organization
Organization subpart Yes
Enumeration date 07/19/2006
Last updated 04/29/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE006331
  • GA Medicaid: 00290364A
  • Other: 1128479 OTHER ID NUMBER-COMMERCIAL NUMBER
  • GA Other: 1205855129 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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