Organization
THE CORNER DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN J BERENATO PHARMD (PHARMACIST IN CHARGE)
(228) 687-3040
Entity
Organization
Contact information
Practice address
5101 BEATLINE ROAD, LONG BEACH, MS 39560
(228) 687-3040
(228) 687-3041
Mailing address
5101 BEATLINE ROAD, LONG BEACH, MS 39560
(228) 687-3040
(228) 687-3041
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
06/06/2025
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