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Organization
THE CORNER DRUG STORE
Active
Organization
THE CORNER DRUG STORE
Active
Other names
THE CORNER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN MORTON PHARMD (OWNER)
(205) 647-5454
Entity
Organization
Contact information
Practice address
10107 CORNER SCHOOL RD, WARRIOR, AL 35180
(205) 647-5454
(205) 647-5480
Mailing address
10107 CORNER SCHOOL RD, WARRIOR, AL 35180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112746
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133544
OTHER ID NUMBER
—
Enumeration date
06/22/2006
Last updated
07/13/2007
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