Organization
STOVALLS PRESCRIPTION SHOP INC
Active
Organization
STOVALLS PRESCRIPTION SHOP INC
Active
Other names
PHARMACY ARTS
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY STOVALL (PHARMACIST AND OWNER)
(270) 237-5402
Entity
Organization
Contact information
Practice address
31 BURNLEY RD, SCOTTSVILLE, KY 42164-6357
(270) 618-4444
(270) 622-3996
Mailing address
PO BOX 217, SCOTTSVILLE, KY 42164-0217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2032995
PK
—
05
—
54033667
—
KY
Enumeration date
03/13/2007
Last updated
11/09/2015
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