Organization
STALLARDS PHARMACY INC
Active
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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