Healthcare Provider Details

I. General information

NPI: 1598652331
Provider Name (Legal Business Name): MCKINLEY CRANFORD CORLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 VETERANS BLVD
DUBLIN GA
31021-3620
US

IV. Provider business mailing address

209 GA HIGHWAY 257
COCHRAN GA
31014-3426
US

V. Phone/Fax

Practice location:
  • Phone: 800-595-5229
  • Fax:
Mailing address:
  • Phone: 478-308-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035526
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: