Organization
CORNER PHARMACY INC
Active
Other names
Corner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YONGDONG KIM (PRESIDENT)
(770) 622-6888
Entity
Organization
Contact information
Practice address
2550 PLEASANT HILL RD STE 120, DULUTH, GA 30096-9278
(770) 622-0688
(770) 622-0689
Mailing address
2550 PLEASANT HILL RD STE 120, DULUTH, GA 30096-9278
(770) 622-0688
(770) 622-0689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138096
PK
—
Enumeration date
11/30/2012
Last updated
03/30/2016
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