Organization
STEPHENS DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GOBLE (PRESIDENT)
(502) 895-5446
Entity
Organization
Contact information
Practice address
4200 SHELBYVILLE RD, LOUISVILLE, KY 40207-3956
(502) 895-5446
(502) 895-4497
Mailing address
4200 SHELBYVILLE RD, LOUISVILLE, KY 40207-3956
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P02419
KY
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802443
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54027446
—
KY
Enumeration date
10/31/2006
Last updated
09/11/2025
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