Organization
CORNING DRUG INC
Active
Other names
Prices Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BILODEAUX (PRESIDENT)
(530) 824-3495
Entity
Organization
Contact information
Practice address
1322 SOLANO ST, CORNING, CA 96021-3053
(530) 824-3495
(530) 824-9227
Mailing address
1322 SOLANO ST, CORNING, CA 96021-3053
(530) 824-3495
(530) 824-9227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530825
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
01/31/2013
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