Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Your Corner Drug Store LLC

Organization Pharmacy · NPI 1629433529

Your Corner Drug Store LLC is a Pharmacy in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4260 Log Cabin Dr Ste C
Macon, GA 31204-4852
Phone: (478) 254-8484
Fax: (478) 254-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE010205 (GA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1629433529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Frazier — Owner · (478) 254-8484
Other names Your Corner Drugstore
NPI enumeratedDecember 18, 2015
Last updated in NPPESApril 19, 2017
Mailing address104 Lorraine Forest Ct, Macon, GA 31210-5316

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