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Your Corner Drug Store Llc
Compounding Pharmacy in Macon, Georgia
NPI 1629433529

Your Corner Drug Store Llc is a Compounding Pharmacy based in Macon, GA and is specialized in Compounding Pharmacy. Your Corner Drug Store Llc practices in Macon, GA. The NPI Number for Your Corner Drug Store Llc is 1629433529 and holds a License No. (Georgia).

The current practice location address for Your Corner Drug Store Llc is 4260 Log Cabin Dr Ste C, Macon, GA and can be reached out via phone at 478-254-8484 and via fax at 478-254-8020.

Location: 4260 Log Cabin Dr Ste C, Macon, GA, 31210-5316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629433529
Provider Name
Your Corner Drug Store Llc
Credential
Provider Entity Type
Organization
Address
4260 Log Cabin Dr Ste C, Macon, GA, 31210-5316
Phone Number
478-254-8484
Fax Number
478-254-8020
Provider Enumeration Date
12/18/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2156014 01 PK
003173406A 05 GA
institution
Provider Business Practice Location Address Details
Address
4260 Log Cabin Dr Ste C
City
Macon
State
Georgia
Zip
31204-4852
Phone Number
478-254-8484
Fax Number
478-254-8020
person
Provider Business Mailing Address Details
Address
4260 Log Cabin Dr Ste C
City
Macon
State
Georgia
Zip
31204-4852
Phone Number
478-254-8484
Fax Number
478-254-8020
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHRE010205 (Georgia)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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