Corner Drug Store

LBN: Caeverett, Inc
Corner Drug Store is an health care organization with primary practice located at 830 E Main Street , Melbourne AR 72556. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Caeverett, Inc can be contacted via phone (870) 368-7171, or through Everett, Abby via phone (870) 291-0453.

Contact Information

Primary practice address
830 E Main Street Melbourne AR 72556
Phone: (870) 368-7171
Fax: (870) 368-5295
Website:
Map and Directions
Authorized official contact:
Name: Everett, Abby
Phone: (870) 291-0453

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR11366 Arkansas

Profile Details

NPI number 1326015371
LBN Legal business name Caeverett, Inc
DBA Doing business as Corner Drug Store
Authorized official Everett, Abby
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 8th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326015371 NPPES
Arkansas MEDICAID 158762407
Arkansas Other 1994142

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