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HYUNGWON KANG NPI 1083690911


NPI Information

NPI: 1083690911
Provider Name: HYUNGWON KANG

Doing Business As: CORNER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2550 PLEASANT HILL RD # BUILD100
STE 126
DULUTH, GA
ZIP 30096
Phone: (770) 622-0688
Get Directions

HYUNGWON KANG is a community/retail pharmacy pharmacy in Duluth, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HYUNGWON KANG NPI is 1083690911. The provider is registered as an organization entity type.
The provider Is Doing Business As Corner Pharmacy.

The provider's business location address is:

2550 PLEASANT HILL RD # BUILD100
STE 126
DULUTH, GA
ZIP 30096-122
Phone: (770) 622-0688
Fax: (770) 622-0689

The provider's authorized official is Hyungwon Kang .
The authorized official title is Owner Pic and has the following contact phone number (770) 622-0688.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE008994GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11153864OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2422771904AMEDICAIDGEORGIA
35624420001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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