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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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