# SOUTH GEORGIA PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONVENIENT RX LTC \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871953406
- **Authorized official:** GREG YARBROUGH (OWNER)
- **Authorized official phone:** (229) 890-6054

## Contact information

- **Practice address:** 720 W CENTRAL AVE STE 1, MOULTRIE, GA 31768-3560
- **Practice address phone:** (229) 890-6054
- **Practice address fax:** (229) 891-4087
- **Mailing address:** PO BOX 861, MOULTRIE, GA 31776-0861
- **Mailing address phone:** (229) 890-6054
- **Mailing address fax:** (229) 891-4087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHRE010291 | GA | Yes |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 09/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160956 | PK | — |