Organization
CROFTON PHARMACY LLC
Active
Organization
CROFTON PHARMACY LLC
Active
Other names
CROFTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEB STEWART RPH (OWNER/PHARMACIST)
(270) 424-8965
Entity
Organization
Contact information
Practice address
235 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 424-8965
(270) 424-8963
Mailing address
235 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 424-8965
(270) 424-8963
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07729
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157257
PK
—
05
—
7100380160
—
KY
Enumeration date
11/30/2006
Last updated
05/03/2022
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