Stouts Pharmacy Inc
LBN: Stouts Pharmacy Inc
Stouts Pharmacy Inc is an health care organization with primary practice located at 3007 Dudley Ave , Parkersburg WV 26104-1817. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Stouts Pharmacy Inc can be contacted via phone (304) 422-6511, or through Pfalzgraf, Bruce D. via phone (304) 422-6511.
Contact Information
Primary practice address
3007 Dudley Ave
Parkersburg WV 26104-1817
Phone: (304) 422-6511
Fax: (304) 485-8832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | SP0552220 | West Virginia |
| Suppliers / Pharmacy | 333600000X | SP0552220 | West Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1023189040 |
|---|---|
| LBN Legal business name | Stouts Pharmacy Inc |
| DBA Doing business as | |
| Authorized official | Pfalzgraf, Bruce D. R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Sep 28th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023189040 | NPPES |
| Other | 5011301 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 0141780000 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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