Organization
CORNER TECH, INC DBA CAMARGO DRUG COMPANY
Active
Organization
CORNER TECH, INC DBA CAMARGO DRUG COMPANY
Active
Other names
Camargo Pharmacy, TPN Camargo, LLC DBA Camargo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATT ELAM (OWNER)
(859) 497-0009
Entity
Organization
Contact information
Practice address
3404 CAMARGO ROAD, MT STERLING, KY 40353
(859) 497-0009
(859) 497-0046
Mailing address
1316 PORTER ROAD, CATLETTSBURG, KY 41129
(502) 209-9351
(502) 780-5896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07409
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827661
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/24/2006
Last updated
05/07/2024
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