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CORNER DRUG STORE OF WAHPETON INC NPI 1134345457


NPI Information

NPI: 1134345457
Provider Name: CORNER DRUG STORE OF WAHPETON INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
619 DAKOTA AVE
WAHPETON, ND
ZIP 58075
Phone: (701) 642-6223
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CORNER DRUG STORE OF WAHPETON INC is a community/retail pharmacy pharmacy in Wahpeton, ND. 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. CORNER DRUG STORE OF WAHPETON INC NPI is 1134345457. The provider is registered as an organization entity type.

The provider's business location address is:

619 DAKOTA AVE
WAHPETON, ND
ZIP 58075-325
Phone: (701) 642-6223
Fax: (701) 642-8839

The provider's authorized official is Lucas Bradley Glarum .
The authorized official title is Pharmacist In Charge and has the following contact phone number (701) 642-6223.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/13/2024.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy15NORTH DAKOTAYes
33336L0003XPharmacyLong Term Care PharmacyPHAR15NORTH DAKOTANo
43336S0011XPharmacySpecialty PharmacyPHAR15NORTH DAKOTANo

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
1701260XMEDICAIDMINNESOTA
220159MEDICAIDNORTH DAKOTA
33501803OTHERNABP

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.