Organization
CORNER DRUG STORE INC
Active
Other names
CORNER DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BIMEAL RPH (PRESIDENT)
(814) 243-4937
Entity
Organization
Contact information
Practice address
142 WALTS LN, JOHNSTOWN, PA 15906-4123
(814) 536-5114
Mailing address
142 WALTS LN, JOHNSTOWN, PA 15906-4123
(814) 536-5114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410482L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3918678
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
986505
—
PA
Enumeration date
09/20/2006
Last updated
09/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us