Organization
CORLEY & MCCLENDON, INC.
Active
Other names
Corley Drugs #4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DAVID COCHRAN RPH (OWNER/PHARMACIST)
(706) 884-2661
Entity
Organization
Contact information
Practice address
18 NEW AIRPORT ROAD, LAGRANGE, GA 30240
(706) 884-2517
(706) 882-3818
Mailing address
18 NEW AIRPORT ROAD, SUITE B, LAGRANGE, GA 30240
(706) 885-9213
(706) 885-9829
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007019
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000383666A
—
GA
05
—
00383666A
—
GA
01
—
1133393
NCPDP#
—
01
—
1396764213
NPI
—
01
—
PHRE007019
STATE PHARMACY LICENSE
GA
Enumeration date
07/19/2006
Last updated
03/07/2023
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