# WEST OLD CORNER DRUG, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLD CORNER DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962921700
- **Authorized official:** DR. RANDY JAMES NIEMEYER PHARMD (OWNER/PHARMACIST)
- **Authorized official phone:** (254) 826-5122

## Contact information

- **Practice address:** 200 N MAIN ST, WEST, TX 76691-1207
- **Practice address phone:** (254) 826-5122
- **Practice address fax:** (254) 826-3768
- **Mailing address:** 200 N MAIN ST, WEST, TX 76691-1207
- **Mailing address phone:** (254) 826-5122
- **Mailing address fax:** (254) 826-3768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 6826 | TX | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 142315 | — | TX |