Organization
HYUNGWON KANG
Active
Other names
CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HYUNGWON KANG (OWNER PIC)
(770) 622-0688
Entity
Organization
Contact information
Practice address
2550 PLEASANT HILL RD # BUILD100, STE 126, DULUTH, GA 30096-4122
(770) 622-0688
(770) 622-0689
Mailing address
2550 PLEASANT HILL RD # BUILD100, STE 126, DULUTH, GA 30096-4122
(770) 622-0688
(770) 622-0689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153864
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
422771904A
—
GA
Enumeration date
12/22/2005
Last updated
06/03/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up