Organization
CORNER DRUG STORE OF STURGIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DAREN WARFORD (PHARMACIST)
(270) 333-5344
Entity
Organization
Contact information
Practice address
424 N ADAMS ST, STURGIS, KY 42459-1611
(270) 333-5344
(270) 333-4513
Mailing address
424 N ADAMS ST, STURGIS, KY 42459-1611
(270) 333-5344
(270) 333-4513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO6940
KY
3336C0003X
Community/Retail Pharmacy
PO6940
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90008897
—
KY
Enumeration date
02/08/2007
Last updated
09/08/2009
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