Standard Drug #10

LBN: The Corner Drugstore Inc
Standard Drug #10 is an health care organization with primary practice located at 1251 Wentzville Pkwy , Wentzville MO 63385-3749. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. The Corner Drugstore Inc can be contacted via phone (636) 887-4399, or through Roberts, Gerald W via phone (636) 946-6557.

Contact Information

Primary practice address
1251 Wentzville Pkwy Wentzville MO 63385-3749
Phone: (636) 887-4399
Fax: (636) 887-4371
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Gerald W RPH
Phone: (636) 946-6557

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 042894 Missouri

Profile Details

NPI number 1033283502
LBN Legal business name The Corner Drugstore Inc
DBA Doing business as Standard Drug #10
Authorized official Roberts, Gerald W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 18th, 2008 - about 18 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 1033283502 NPPES
Missouri Other 11478594 STATE TAX ID
Missouri Other 2006035983 STATE TAX ID

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