Organization
STONER DRUG CO.
Active
Other names
Stoner Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ALLEY RPH (PHCST)
(712) 629-2945
Entity
Organization
Contact information
Practice address
712 MAIN ST, TABOR, IA 51653-0097
(712) 629-2945
Mailing address
712 MAIN ST, TABOR, IA 51653-0097
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
766
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088369
—
IA
01
—
1617135
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/27/2006
Last updated
10/18/2019
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