| NPI | 1487725404 |
|---|---|
| Doing Business As | CORNER DRUG AT IGA |
| Entity Type | Organization |
| Authorized Contact | MITCH HOMI Phcy Mgr 307-864-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WY 5203459) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |