The Corner Drug Store

LBN: The Corner Drug Store
The Corner Drug Store is an health care organization with primary practice located at 120 S Trenton St , Ruston LA 71270-4473. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. The Corner Drug Store can be contacted via phone (318) 255-3318, or through Birch, Gil via phone (318) 255-3318.

Contact Information

Primary practice address
120 S Trenton St Ruston LA 71270-4473
Phone: (318) 255-3318
Fax: (318) 255-2146
Website:
Map and Directions
Authorized official contact:
Name: Birch, Gil PHRM
Phone: (318) 255-3318

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 002317 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1942350269
LBN Legal business name The Corner Drug Store
DBA Doing business as
Authorized official Birch, Gil PHRM
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 22nd, 2020 - 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 1942350269 NPPES
Louisiana MEDICAID 1259110
Louisiana Other 1910593

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