Your Corner Drug Store Llc is an authorized DME supplier for medicare equipments and products.
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
Fax Number:
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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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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