MEDICARE: CORNER DRUG CO.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2115842	OTHER		PK

General Provider Information

NPI Number	:	1760477079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNER DRUG CO.

Provider Business Mailing Address
First Line	:	PO BOX 1812
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95776-1812
Country	:	US
Telephone Number	:	530-662-2813
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 MAIN ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3405
Country	:	US
Telephone Number	:	530-662-2813
Fax Number	:	530-662-1031

Authorized Official
Title or Position	:	CEO
Name	:	SARA SHELLEY
Credential	:	PHARMD
Telephone Number	:	530-662-2813

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	09/02/2025

Similar Medicare Providers

1427102235 — WENDY A WIGMORE
Practice Location Address:

604 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-661-7409
Practice Fax: 530-644-4163

1104136126 — JACKSON MEDICAL SUPPLY INC
Practice Location Address:

604 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-661-7409
Practice Fax: 530-661-7345

1881094084 — KIMBERLY ANN GREENE PHARM.D.
Practice Location Address:

602 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-662-2813
Practice Fax:

1740727056 — LISA SHELLEY RPH
Practice Location Address:

602 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-662-2813
Practice Fax: 530-662-1031

1134698343 — SARA SHELLEY PHARM.D.
Practice Location Address:

602 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-662-2813
Practice Fax: 530-662-1031

1891264768 — RAVJYOAT TAKHAR PHARM D
Practice Location Address:

602 MAIN ST
WOODLAND, CA
95695-3405

Practice Phone: 530-662-2813
Practice Fax:

Directions to “CORNER DRUG CO. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.