Corner Drug

LBN: Yantis Enterprises Inc
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. Yantis Enterprises Inc can be contacted via phone (541) 247-4544, or through Yantis, Timothy via phone (541) 247-4544.

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: Yantis, Timothy
Phone: (541) 247-4544

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0000218 Oregon

Profile Details

NPI number 1972543734
LBN Legal business name Yantis Enterprises Inc
DBA Doing business as Corner Drug
Authorized official Yantis, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 30th, 2016 - about 10 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 1972543734 NPPES
Other 2123262 PK
MEDICAID 500615354 PK

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