# CORNER HOMECARE

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

## Provider details

- **NPI number:** 1831304799
- **Authorized official:** MR. STEVE K PPOOL RPH (CEO)
- **Authorized official phone:** (270) 365-3903

## Contact information

- **Practice address:** 108 E WASHINGTON ST, PRINCETON, KY 42445-2250
- **Practice address phone:** (270) 365-3903
- **Practice address fax:** (270) 365-2024
- **Mailing address:** 108 E WASHINGTON ST, PRINCETON, KY 42445-2250
- **Mailing address phone:** (270) 365-3903
- **Mailing address fax:** (270) 365-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 10/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 45902913 | — | KY |
| 05 | — | 54005178 | — | KY |
| 05 | — | 54024286 | — | KY |
| 05 | — | 90020173 | — | KY |
