Organization
STULTZ PHARMACY INC
Active
Other names
STULTZ PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD STULTZ (OWNER)
(606) 473-7346
Entity
Organization
Contact information
Practice address
1615 ASHLAND RD, GREENUP, KY 41144-1207
(606) 473-7346
(606) 473-5667
Mailing address
1615 ASHLAND RD, GREENUP, KY 41144-1207
(606) 473-7346
(606) 473-5667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01316
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029486
PK
—
05
—
2418341
—
OH
05
—
54016134
—
KY
05
—
7100196620
—
KY
05
—
7100198150
—
KY
05
—
90020454
—
KY
Enumeration date
07/06/2006
Last updated
04/13/2017
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