Organization
STALLARDS PHARMACY INC
Active
Other names
Family Drug Of Neon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CRAIG STALLARD PHARMD (PRESIDENT OWNER)
(606) 855-4428
Entity
Organization
Contact information
Practice address
972 HWY 317, NEON, KY 41840
(606) 855-4428
(606) 855-4309
Mailing address
PO BOX 217, NEON, KY 41840
(606) 855-4428
(606) 855-4309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG0456
KY
3336C0003X
Community/Retail Pharmacy
PO6859
KY
3336M0003X
Managed Care Organization Pharmacy
Primary
P06859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54005087
—
KY
01
—
90006990
MEDICAID DME
KY
Enumeration date
11/09/2006
Last updated
09/11/2025
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