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General NPI Number Information
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NPI Number | 1740147420
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PHARMACY INC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 314 WASHINGTON ST
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City | CLYDE
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State | KS
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Zip | 66938
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Country | US
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Telephone | 620-877-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 TOBIAS DR
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City | LYONS
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State | KS
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Zip | 67554-3515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | JACOB EDWARDS
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Credential |
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Telephone | 620-877-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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