Stultz Pharmacy

LBN: Stultz Pharmacy Inc
Stultz Pharmacy is an health care organization with primary practice located at 2420 Argillite Rd Ste A, Flatwoods KY 41139-1972. 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 / Community/Retail Pharmacy is the primary health care specialty. Stultz Pharmacy Inc can be contacted via phone (606) 834-1052, or through Stultz, Brad via phone (606) 834-1052.

Contact Information

Primary practice address
2420 Argillite Rd Ste A Flatwoods KY 41139-1972
Phone: (606) 834-1052
Fax: (606) 834-1039
Website:
Map and Directions
Authorized official contact:
Name: Stultz, Brad
Phone: (606) 834-1052

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06803 Kentucky

Profile Details

NPI number 1386655892
LBN Legal business name Stultz Pharmacy Inc
DBA Doing business as Stultz Pharmacy
Authorized official Stultz, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 13th, 2016 - about 10 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 1386655892 NPPES
Kentucky MEDICAID 7100196630
Kentucky MEDICAID 54030036
Kentucky MEDICAID 2418342
Kentucky MEDICAID 7100197480
Kentucky Other 2034011
Kentucky MEDICAID 90100454

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