Organization
KEVIN PETERSON
Active
Organization
KEVIN PETERSON
Active
Other names
Korner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PETERSON (OWNER)
(281) 914-7154
Entity
Organization
Contact information
Practice address
2503 CARTWRIGHT RD, MISSOURI CITY, TX 77459-2606
(281) 969-7940
(832) 987-1226
Mailing address
2503 CARTWRIGHT RD, MISSOURI CITY, TX 77459-2606
(281) 969-7940
(832) 987-1226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152835
PK
—
Enumeration date
04/06/2015
Last updated
07/20/2015
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