Organization
THE CORNER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD R. BOOTH R.PH. (OWNER)
(913) 682-1602
Entity
Organization
Contact information
Practice address
429 DELAWARE ST, LEAVENWORTH, KS 66048-2732
(913) 682-1602
(913) 682-4220
Mailing address
429 DELAWARE ST, LEAVENWORTH, KS 66048-2732
(913) 682-1602
(913) 682-4220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
206059
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710652
NABP
KS
Enumeration date
02/21/2006
Last updated
11/12/2007
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