Organization
STOVALLS PRESCRIPTION SHOP INC
Active
Other names
STOVALLS PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY STOVALL RPH (PHARMACIST AND CO OWNER)
(270) 237-5402
Entity
Organization
Contact information
Practice address
202 S COURT ST, SCOTTSVILLE, KY 42164-1263
(270) 237-5402
(270) 237-4305
Mailing address
202 S COURT ST, SCOTTSVILLE, KY 42164-1263
(270) 237-5402
(270) 237-4305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029127
PK
—
05
—
54016365
—
KY
Enumeration date
03/13/2007
Last updated
11/10/2015
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