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CORNER DRUG CO. INC. NPI 1164986188


NPI Information

NPI: 1164986188
Provider Name: CORNER DRUG CO. INC.

Doing Business As: CORNER DRUG LONG TERM CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 05D2285525

Address:
602 MAIN ST
WOODLAND, CA
ZIP 95695
Phone: (530) 662-2813
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CORNER DRUG CO. INC. is a long term care pharmacy pharmacy in Woodland, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CORNER DRUG CO. INC. NPI is 1164986188. The provider is registered as an organization entity type.
The provider Is Doing Business As Corner Drug Long Term Care Pharmacy.

The provider's business location address is:

602 MAIN ST
WOODLAND, CA
ZIP 95695-405
Phone: (530) 662-2813

The provider's authorized official is Lisa K Shelley .
The authorized official title is Pres and has the following contact phone number (530) 662-2813.

The CLIA number assigned to this NPI record is 05D2285525 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 10/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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