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Organization

CORNER PHARMACY CORPORATION

Active
Other names
Corner Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL PHILLIP MUDRICK R.PH. (PRESIDENT)
(808) 946-0064
Entity
Organization

Contact information

Practice address
2011 COYNE ST, HONOLULU, HI 96826-1334
(808) 946-0064
(808) 949-7131
Mailing address
2011 COYNE ST, HONOLULU, HI 96826-1334
(808) 946-0064
(808) 949-7131

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY685
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1239880
NCPDP
HI
Enumeration date
11/12/2006
Last updated
07/14/2013
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