# CORNER CROSSING LLC

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

## Provider details

- **NPI number:** 1609271220
- **Authorized official:** JT LEATHERWOOD BS PHARMACY (OWNER, PIC, AO)
- **Authorized official phone:** (256) 230-6200

## Contact information

- **Practice address:** 30694 HIGHWAY 72 WEST, SUITE A, HUNTSVILLE, AL 35756
- **Practice address phone:** (256) 230-6200
- **Practice address fax:** (256) 230-6232
- **Mailing address:** 30694 HIGHWAY 72 WEST, SUITE A, HUNTSVILLE, AL 35756
- **Mailing address phone:** (256) 230-6200
- **Mailing address fax:** (256) 230-6232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114500 | AL | Yes |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 01/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 176134 | — | AL |
| 01 | — | 2150075 | PK | — |