National Provider Identifier Database

CORNER DRUG STORE
Pharmacist

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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

CORNER DRUG STORE
1123 WASHINGTON ST
VICKSBURG, MS39183-2959
Phone: 601-636-2756
Fax: 601-638-0071
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for CORNER DRUG STORE

NPI Number 1922031392
Legal business name
LBN
CORNER DRUG STORE
Authorized official JOSEPH GERACHE - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 07/09/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 00274
  • MS Medicaid: 00031101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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