Organization
CORNER DRUG & GIFT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MARIE DOANE (OWNER/PIC)
(785) 454-6614
Entity
Organization
Contact information
Practice address
823 MORGAN AVE, DOWNS, KS 67437-1623
(785) 454-6614
(785) 454-6675
Mailing address
823 MORGAN AVE, DOWNS, KS 67437-1623
(785) 454-6614
(785) 454-6675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
209402
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425740A
—
KS
Enumeration date
07/09/2006
Last updated
10/09/2021
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