# GLENN'S CORNER PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLENN'S CORNER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801142112
- **Authorized official:** MR. GLENN N PARKMAN RPH (OWNER / PHARMACIST IN CHARGE)
- **Authorized official phone:** (229) 776-3600

## Contact information

- **Practice address:** 631 E FRANKLIN ST, SYLVESTER, GA 31791-7231
- **Practice address phone:** (229) 776-3600
- **Practice address fax:** (229) 776-6464
- **Mailing address:** 631 E FRANKLIN ST, SYLVESTER, GA 31791-7231
- **Mailing address phone:** (229) 776-3600
- **Mailing address fax:** (229) 776-6464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2012
- **Last updated:** 05/02/2013