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West Old Corner Drug, Inc — NPI 1962921700, West, TX | NPI Central

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NPI 1962921700

OrganizationActive

West Old Corner Drug, Inc

NPI 1962921700 · Long Term Care Pharmacy · West, TX

Provider details

NPI number: 1962921700
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Randy Niemeyer, Owner/Pharmacist(254) 826-5122
License: 6826 (TX)

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 6826 (TX)
Suppliers

Practice location

200 N Main St

West, TX 76691-1207

Phone: (254) 826-5122

Fax: (254) 826-3768

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

200 N Main St

West, TX 76691-1207

Other names (DBA / former)

Doing business as: Old Corner Drug

Registry dates

Enumerated: 2017-09-13
Last updated: 2022-07-21
Certified: 2021-03-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.