# CORNER DRUG STORE INC

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

## Provider details

- **NPI number:** 1225787278
- **Authorized official:** DYLAN J BERENATO (PHARMACIST IN CHARGE)
- **Authorized official phone:** (228) 687-3040

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 08/06/2026
