Organization
CORNER HOMECARE INC
Active
Other names
The Pharmacy Corner
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN K PPOOL (PRESIDENT)
(270) 365-3903
Entity
Organization
Contact information
Practice address
700 CASSIDY AVE, FREDONIA, KY 42411-9207
(270) 545-3413
(270) 545-3427
Mailing address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
—
KY
333600000X
Pharmacy
—
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
KY
3336H0001X
Home Infusion Therapy Pharmacy
—
KY
3336L0003X
Long Term Care Pharmacy
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54004320
—
KY
05
—
90005554
—
KY
Enumeration date
06/23/2005
Last updated
07/21/2022
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