Organization
STEDMAN HEALTH ASSOCIATES INC
Active
Other names
STEDMAN DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCHUGH RPH (PRESIDENT)
(803) 240-9882
Entity
Organization
Contact information
Practice address
7445 CLINTON RD, STEDMAN, NC 28391-8901
(910) 323-4555
(910) 483-0515
Mailing address
634 PINE RIDGE DR STE B, WEST COLUMBIA, SC 29172-1885
(803) 240-9882
(910) 483-0515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265652
—
NC
01
—
3423097
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/28/2006
Last updated
07/19/2021
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