Organization
THE CORNER DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIL BIRCH PHRM (OWNER)
(318) 255-3318
Entity
Organization
Contact information
Practice address
120 S TRENTON ST, RUSTON, LA 71270-4473
(318) 255-3318
(318) 255-2146
Mailing address
120 S TRENTON ST, RUSTON, LA 71270-4473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
002317
LA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259110
—
LA
01
—
1910593
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/11/2007
Last updated
09/11/2025
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