Your Corner Drug Store Llc
Community/Retail Pharmacy
4260 Log Cabin Dr Ste C, Macon
Georgia, 31204-4852
478-254-8484 478-254-8020
Your Corner Drug Store Llc is a Community/Retail Pharmacy in Macon, Georgia. It is located at 4260 Log Cabin Dr Ste C, Macon and it's customer support contact number is 478-254-8484. The authorized person of Your Corner Drug Store Llc is Matthew Frazier, PHARMD who is Owner of the pharmacy and his contact number is 478-254-8484. Active license number of Your Corner Drug Store Llc is PHRE010205 for Community/Retail Pharmacy in Georgia. Your Corner Drug Store Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Your Corner Drug Store Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Your Corner Drug Store Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Your Corner Drug Store Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 4260 Log Cabin Dr Ste C, Macon,
Georgia, 31204-4852 |
| Phone: | 478-254-8484 |
| Fax: | 478-254-8020 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Matthew Frazier |
| Credentials: | PHARMD |
| Position: | Owner |
| Contact Number: | 478-254-8484 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1629433529 |
| NPI Enumeration Date: | 18 Dec, 2015 |
| NPI Last Update On: | 19 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Your Corner Drug Store Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE010205 | Georgia | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2156014 | Other | | Pk |
| 003173406A | Medicaid | Georgia | |
Medicare Enrollment:
Your Corner Drug Store Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0042504409 | O20160808001017 | Your Corner Drug Store Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 0042504409 | O20161022000237 | Your Corner Drug Store Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 104 Lorraine Forest Ct,
Macon, Georgia |
| Zip: | 31210-5316 |
| Phone Number: | 478-994-1189 |
Patients can reach Your Corner Drug Store Llc at
4260 Log Cabin Dr Ste C, Macon, Georgia or can
call on customer care at 478-254-8484.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.