Organization
STULTZ PHARMACY OF WHEELERSBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRADLEY STULTZ RPH (PRESIDENT/RPH)
(740) 574-8933
Entity
Organization
Contact information
Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-8933
(740) 981-3340
Mailing address
8991 OHIO RIVER RD, WHEELERSBURG, OH 45694-1923
(740) 574-8933
(740) 981-3340
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022465750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022465750
OHIO STATE LICENSE NUMBER
OH
01
—
3682653
NCPDP
OH
Enumeration date
12/02/2014
Last updated
03/07/2023
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