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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