Organization
CORNER DRUG STORE, INC DBA MUSCODA PRESCRIPTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L DEANS (CONTRACTING MANAGER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
1075 N WISCONSIN AVE, MUSCODA, WI 53573-9116
(608) 739-4400
(608) 739-3490
Mailing address
333 LOWVILLE RD, RIO, WI 53960-9437
(920) 992-6800
(920) 614-6100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100419267
—
WI
Enumeration date
05/01/2026
Last updated
07/24/2026
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