| NPI | 1629433529 |
|---|---|
| Doing Business As | YOUR CORNER DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW FRAZIER Owner 478-254-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010205) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2017-04-19 |