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Organization

CORNER DRUG STORE INC

Active
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Organization

CORNER DRUG STORE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DYLAN J BERENATO (PHARMACIST IN CHARGE)
(228) 687-3040
Entity
Organization

Contact information

Practice address
5101 BEATLINE ROAD, LONG BEACH, MS 39560
(228) 687-3040
(228) 687-3041
Mailing address
5101 BEATLINE RD, LONG BEACH, MS 39560-4141
(228) 687-3040
(228) 687-3041

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL

Other

Enumeration date
03/18/2022
Last updated
08/06/2026
About Stedi
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  • Eligibility checks