Organization
CORNER DRUG STORE
Active
Other names
THE CORNER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL DUCK (MANAGER)
(318) 539-3199
Entity
Organization
Contact information
Practice address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
(318) 539-3199
(318) 539-3197
Mailing address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
(318) 539-3199
(318) 539-3197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187472407
—
AR
01
—
2129743
PK
—
05
—
2200836
—
LA
Enumeration date
05/18/2011
Last updated
02/03/2025
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