Organization
STANLEY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY VANCE BRYANT RPH (PRESIDENT)
(540) 778-2219
Entity
Organization
Contact information
Practice address
308 E. MAIN, STANLEY, VA 22851-0160
(540) 778-2219
(540) 778-1714
Mailing address
PO BOX 160, STANLEY, VA 22851-0160
(540) 778-2219
(540) 778-1714
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201001325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4810784
NCPDP
—
05
—
8510296
—
VA
Enumeration date
10/17/2006
Last updated
08/22/2020
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