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Organization

CORNERSTONE PHARMACY LLC

Active
Other names
Cornerstone Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD DWIGHT JESSEE PHARM.D. (OWNER/PHARMACIST)
(276) 565-3434
Entity
Organization

Contact information

Practice address
205 KILBOURNE AVENUE, APPALACHIA, VA 24216
(276) 565-3434
Mailing address
PO BOX 469, APPALACHIA, VA 24216-0469
(276) 565-3434

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
01/14/2009
Last updated
12/17/2009
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