Corner Drug Store in Vicksburg - Pharmacist
Corner Drug Store - NPI 1922031392
Corner Drug Store is a Pharmacist in Vicksburg, Mississippi. Corner Drug Store practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Corner Drug Store is 1922031392. The last update date is 2020-08-22.
Corner Drug Store's current location address is 1123 Washington St, Vicksburg, Mississippi. You can contact this provider via phone number 6016362756 and fax number 6016380071. The mailing address for Corner Drug Store is 1123 Washington St, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Corner Drug Store |
|---|---|
| Address | 1123 Washington St, Vicksburg, Mississippi |
| Phone Number | 6016362756 |
| Fax Number | 6016380071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Gerache A Joseph |
| Telephone Number | 6016362756 |
NPI Number Detail
| NPI Number | 1922031392 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1123 Washington St |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391832959 |
| Phone Number | 6016362756 |
| Fax Number | 6016380071 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 274 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31101 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Corner Drug Store by the Centers for Medicare & Medicaid Services?
The Corner Drug Store has been issued the NPI (National Provider Identifier) 1922031392 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Corner Drug Store is physically located?
The Corner Drug Store is situated at the following address: 1123 Washington St, Vicksburg, MS 391832959.
What is Corner Drug Store's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Corner Drug Store's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date was the 1922031392 assigned to Corner Drug Store?
The Corner Drug Store was issued its 1922031392 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Corner Drug Store's information last updated?
The Corner Drug Store's information was last updated on 2020-08-22.
NPI Number: 1528061793
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