Corner Drug

LBN: Mahant Llc
Corner Drug is an health care organization with primary practice located at 29670 Ellensburg Ave , Gold Beach OR 97444-8701. 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. Mahant Llc can be contacted via phone (541) 247-4544, or through Patel, Trushar via phone (503) 752-4459.

Contact Information

Primary practice address
29670 Ellensburg Ave Gold Beach OR 97444-8701
Phone: (541) 247-4544
Fax: (541) 247-2604
Website:
Map and Directions
Authorized official contact:
Name: Patel, Trushar
Phone: (503) 752-4459

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-218 Oregon

Profile Details

NPI number 1942711353
LBN Legal business name Mahant Llc
DBA Doing business as Corner Drug
Authorized official Patel, Trushar
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2017
Last updated Mar 1st, 2021 - about 5 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 1942711353 NPPES
Other 2172045 PK
MEDICAID 500739552 PK

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