Organization
CORNERSTONE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC RICHARD SANDS RPH (PRESIDENT)
(573) 426-5700
Entity
Organization
Contact information
Practice address
1216 E STATE ROUTE 72, ROLLA, MO 65401-3938
(573) 426-5700
Mailing address
1216 E STATE ROUTE 72, ROLLA, MO 65401-3938
(573) 426-5700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001024190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606181600
—
MO
Enumeration date
12/11/2006
Last updated
03/19/2009
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