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Henry W Youngblood
Community/Retail Pharmacy in Broxton, Georgia
NPI 1871620211

Henry W Youngblood is a Community/Retail Pharmacy based in Broxton, GA and is specialized in Community/Retail Pharmacy. Henry W Youngblood practices in Broxton, GA. The NPI Number for Henry W Youngblood is 1871620211 and holds a License No. (Georgia).

The current practice location address for Henry W Youngblood is 402 Alabama St N, Broxton, GA and can be reached out via phone at 912-359-2362 and via fax at 912-359-3607.

Location: 402 Alabama St N, Broxton, GA, 31519-0758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871620211
Provider Name
Henry W Youngblood
Credential
Provider Entity Type
Organization
Address
402 Alabama St N, Broxton, GA, 31519-0758
Phone Number
912-359-2362
Fax Number
912-359-3607
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000025858A 05 GA
2012944 01 PK
institution
Provider Business Practice Location Address Details
Address
402 Alabama St N
City
Broxton
State
Georgia
Zip
31519-6001
Phone Number
912-359-2362
Fax Number
912-359-3607
person
Provider Business Mailing Address Details
Address
402 Alabama St N
City
Broxton
State
Georgia
Zip
31519-6001
Phone Number
912-359-2362
Fax Number
912-359-3607
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHRE010064 (Georgia)
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.
()
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.
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