Organization
STULTZ PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD STULTZ (PRESIDENT)
(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
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100198150
—
KY
Enumeration date
11/30/2021
Last updated
11/30/2021
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