Organization
CORNER DRUG STORE, INC
Active
Other names
Corner Drug Hometown Pharmacy, Corner Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
316 W SPRING ST STE 6, DODGEVILLE, WI 53533-1300
(608) 935-3661
(608) 935-2661
Mailing address
333 LOWVILLE RD, RIO, WI 53960-9437
(920) 992-6800
(920) 614-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5538-042
WI
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5538-042
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33119600
—
WI
Enumeration date
05/26/2006
Last updated
09/08/2025
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