Organization
CORNER DRUG STORE OF STURGIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DAREN WARFORD RPH (PRESIDENT)
(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
3336C0003X
Community/Retail Pharmacy
Primary
P06940
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808560
NCPDP NUMBER
KY
05
—
54007877
—
KY
05
—
90008897
—
KY
Enumeration date
06/12/2006
Last updated
08/22/2020
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