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Organization
CORNER HOMECARE
Active
Organization
CORNER HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE K PPOOL RPH (CEO)
(270) 365-3903
Entity
Organization
Contact information
Practice address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024
Mailing address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45902913
—
KY
05
—
54005178
—
KY
05
—
54024286
—
KY
05
—
90020173
—
KY
Enumeration date
05/14/2007
Last updated
10/06/2008
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