Organization
STONER DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLBY HAYNES (VICE PRESIDENT)
(402) 335-3375
Entity
Organization
Contact information
Practice address
1105 MAIN ST, HAMBURG, IA 51640-1233
(712) 382-2551
(721) 382-2845
Mailing address
1105 MAIN ST, HAMBURG, IA 51640-1233
(712) 382-2551
(721) 382-2845
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
371
IA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018606
—
IA
01
—
1606233
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/27/2006
Last updated
10/18/2019
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