Stovalls Prescription Shop

LBN: Stovalls Prescription Shop Inc
Stovalls Prescription Shop is an health care organization with primary practice located at 202 S Court St , Scottsville KY 42164-1263. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stovalls Prescription Shop Inc can be contacted via phone (270) 237-5402, or through Stovall, Larry via phone (270) 237-5402.

Contact Information

Primary practice address
202 S Court St Scottsville KY 42164-1263
Phone: (270) 237-5402
Fax: (270) 237-4305
Website:
Map and Directions
Authorized official contact:
Name: Stovall, Larry RPH
Phone: (270) 237-5402

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06144 Kentucky

Profile Details

NPI number 1255463287
LBN Legal business name Stovalls Prescription Shop Inc
DBA Doing business as Stovalls Prescription Shop
Authorized official Stovall, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Nov 10th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255463287 NPPES
Kentucky MEDICAID 54016365
Kentucky Other 2029127

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