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Corner Drug Store
Pharmacist in Vicksburg, Mississippi
NPI 1922031392

Corner Drug Store is a Pharmacist based in Vicksburg, MS. Corner Drug Store practices in Vicksburg, MS. The NPI Number for Corner Drug Store is 1922031392 and holds a License No. 00274 (Mississippi).

The current practice location address for Corner Drug Store is 1123 Washington St, Vicksburg, MS and can be reached out via phone at 601-636-2756 and via fax at 601-638-0071.

Location: 1123 Washington St, Vicksburg, MS, 39183-2959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922031392
Provider Name
Corner Drug Store
Credential
Provider Entity Type
Organization
Address
1123 Washington St, Vicksburg, MS, 39183-2959
Phone Number
601-636-2756
Fax Number
601-638-0071
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00031101 05 MS
institution
Provider Business Practice Location Address Details
Address
1123 Washington St
City
Vicksburg
State
Mississippi
Zip
39183-2959
Phone Number
601-636-2756
Fax Number
601-638-0071
person
Provider Business Mailing Address Details
Address
1123 Washington St
City
Vicksburg
State
Mississippi
Zip
39183-2959
Phone Number
601-636-2756
Fax Number
601-638-0071
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
00274 (Mississippi)
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 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.
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