# HOSPITAL PHARMACY OF MOULTRIE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Convenient Care Pharmacy \#1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558427468
- **Authorized official:** GREGORY L YARBROUGH R.PH. (PRESIDENT)
- **Authorized official phone:** (229) 985-9296

## Contact information

- **Practice address:** 203 31ST AVE SE, MOULTRIE, GA 31768-6703
- **Practice address phone:** (229) 985-9296
- **Practice address fax:** (229) 985-3771
- **Mailing address:** PO BOX 861, MOULTRIE, GA 31776-0861
- **Mailing address phone:** (229) 985-9296
- **Mailing address fax:** (229) 891-3771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4738 | GA | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 10/06/2021