Corner Drug Store
LBN: Corner Drug Store, Inc
Corner Drug Store is an health care organization with primary practice located at 316 W Spring St Ste 6 , Dodgeville WI 53533-1300. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Corner Drug Store, Inc can be contacted via phone (608) 935-3661, or through Stocks, Haley via phone (920) 992-6800.
Contact Information
Primary practice address
316 W Spring St Ste 6
Dodgeville WI 53533-1300
Phone: (608) 935-3661
Fax: (608) 935-2661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5538-042 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5538-042 | Wisconsin |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1992751143 |
|---|---|
| LBN Legal business name | Corner Drug Store, Inc |
| DBA Doing business as | Corner Drug Store |
| Authorized official | Stocks, Haley CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Apr 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992751143 | NPPES |
| Wisconsin | Other | 5105691 | NCPDP |
| Wisconsin | MEDICAID | 33119600 | NCPDP |
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