Organization
MCDONALD PHARMACY INC
Active
Other names
MCDONALD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRADLEY STULTZ RPH (PIC)
(606) 922-5512
Entity
Organization
Contact information
Practice address
437 JAMES E HANNAH DR, SOUTH SHORE, KY 41175-9600
(606) 932-3614
(606) 932-3614
Mailing address
PO BOX 774, SOUTH SHORE, KY 41175-0774
(606) 932-3614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391517
—
OH
01
—
2029133
PK
—
05
—
54014196
—
KY
Enumeration date
11/07/2006
Last updated
07/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us