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BROXTON PHARMACY
NPI 1871620211
Pharmacy - Community/Retail Pharmacy in Broxton, GA

Active since February 27, 2007
402 ALABAMA ST N, BROXTON, GA 31519(912) 359-2362(912) 359-3607 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broxton Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROXTON PHARMACY (NPI 1871620211) is a healthcare organization registered as a community/retail pharmacy in Broxton, Georgia and active in the NPI registry since February 2007. The organization lists Henry Youngblood, Owner, as its authorized official.

NPPES Registry Identity

NPI1871620211
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHENRY W YOUNGBLOOD
Location Address402 ALABAMA ST NBroxton, GA 31519-6001
Mailing AddressPo Box 758Broxton, GA 31519-0758 · (912) 359-2362 · Fax (912) 359-3607
Phone(912) 359-2362
Fax(912) 359-3607
Organization SubpartNo
Authorized OfficialHenry YoungbloodOwner · (912) 359-2362
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 14, 2014
✔ NPI 1871620211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE010064
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
402 ALABAMA ST N, Broxton, GA 31519
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Other Names 1

Doing Business AsBroxton Pharmacy

Other Identifiers 2

Other2012944Pk
Medicaid000025858AGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROXTON PHARMACY,LLC
Pharmacy (Community/Retail Pharmacy)
402 ALABAMA ST N
BROXTON, GA 31519
Coffee County (912) 359-2362
BROXTON FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
402 ALABAMA ST N
BROXTON, GA 31519
Coffee County (912) 359-2362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry W Youngblood's NPI number?

The NPI number for Henry W Youngblood is 1871620211. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Broxton Pharmacy.

Where is Henry W Youngblood located?

Henry W Youngblood is located at 402 Alabama St N, Broxton, GA 31519. The listed phone number is (912) 359-2362.

What is Henry W Youngblood's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Henry W Youngblood was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.