Organization
STULTZ PHARMACY INC
Active
Other names
STULTZ PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD STULTZ (PRESIDENT/RPH)
(606) 834-1052
Entity
Organization
Contact information
Practice address
2420 ARGILLITE RD, STE A, FLATWOODS, KY 41139-1972
(606) 834-1052
(606) 834-1039
Mailing address
2420 ARGILLITE RD, STE A, FLATWOODS, KY 41139-1972
(606) 834-1052
(606) 834-1039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034011
PK
—
05
—
2418342
—
OH
05
—
54030036
—
KY
05
—
7100196630
—
KY
05
—
7100197480
—
KY
05
—
90100454
—
KY
Enumeration date
08/10/2006
Last updated
05/13/2016
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