# CORNER DRUG STORE, INC DBA MUSCODA PRESCRIPTION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164369674
- **Authorized official:** DIANE L DEANS (CONTRACTING MANAGER)
- **Authorized official phone:** (920) 992-6800

## Contact information

- **Practice address:** 1075 N WISCONSIN AVE, MUSCODA, WI 53573-9116
- **Practice address phone:** (608) 739-4400
- **Practice address fax:** (608) 739-3490
- **Mailing address:** 333 LOWVILLE RD, RIO, WI 53960-9437
- **Mailing address phone:** (920) 992-6800
- **Mailing address fax:** (920) 614-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 07/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100419267 | — | WI |