Corner Drug Store Inc

LBN: Corner Drug Store Inc
Corner Drug Store Inc is an health care organization with primary practice located at 142 Walts Ln , Johnstown PA 15906-4123. 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. Corner Drug Store Inc can be contacted via phone (814) 536-5114, or through Bimeal, Robert via phone (814) 243-4937.

Contact Information

Primary practice address
142 Walts Ln Johnstown PA 15906-4123
Phone: (814) 536-5114
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bimeal, Robert RPH
Phone: (814) 243-4937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410482L Pennsylvania

Profile Details

NPI number 1134226079
LBN Legal business name Corner Drug Store Inc
DBA Doing business as Corner Drug Store Inc
Authorized official Bimeal, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 18th, 2012 - about 14 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 1134226079 NPPES
Other 3918678 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 986505 NCPDP PROVIDER IDENTIFICATION NUMBER

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