Corner Pharmacy

LBN: Hyungwon Kang
Corner Pharmacy is an health care organization with primary practice located at 2550 Pleasant Hill Rd # Build100 Ste 126, Duluth GA 30096-4122. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hyungwon Kang can be contacted via phone (770) 622-0688, or through Kang, Hyungwon via phone (770) 622-0688.

Contact Information

Primary practice address
2550 Pleasant Hill Rd # Build100 Ste 126 Duluth GA 30096-4122
Phone: (770) 622-0688
Fax: (770) 622-0689
Website:
Map and Directions
Authorized official contact:
Name: Kang, Hyungwon
Phone: (770) 622-0688

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008994 Georgia

Profile Details

NPI number 1083690911
LBN Legal business name Hyungwon Kang
DBA Doing business as Corner Pharmacy
Authorized official Kang, Hyungwon
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 3rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083690911 NPPES
Georgia MEDICAID 422771904A
Georgia Other 1153864

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