Organization
CONVENIENT RX LLC
Active
Other names
CONVENIENT CARE PHARMACY #4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG YARBROUGH RPH (OWNER)
(229) 668-3005
Entity
Organization
Contact information
Practice address
640 VETERANS PKWY N, MOULTRIE, GA 31788
(229) 890-6054
(229) 891-4087
Mailing address
PO BOX 861, MOULTRIE, GA 31776-0861
(229) 668-3005
(229) 668-3006
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003188228A
—
GA
01
—
PHRE010309
PHARMACY LIC NUMBER
GA
Enumeration date
09/14/2016
Last updated
03/30/2020
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