Organization
CORNER DRUG STORE OF STURGIS, LLC
Active
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
Update your record
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