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Organization

CORNER HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE K PPOOL RPH (CEO)
(270) 365-3903
Entity
Organization

Contact information

Practice address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024
Mailing address
108 E WASHINGTON ST, PRINCETON, KY 42445-2250
(270) 365-3903
(270) 365-2024

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45902913
KY
05
54005178
KY
05
54024286
KY
05
90020173
KY
Enumeration date
05/14/2007
Last updated
10/06/2008
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