Organization
STANS PHARMACY INC
Active
Organization
STANS PHARMACY INC
Active
Other names
STANS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COLBURN RPH (OWNER AND PHARMACIST)
(423) 775-3030
Entity
Organization
Contact information
Practice address
7787 RHEA COUNTY HWY, DAYTON, TN 37321-5982
(423) 775-3030
(423) 775-6147
Mailing address
PO BOX 309, DAYTON, TN 37321-0309
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000556
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452925
—
TN
01
—
4405913
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2006
Last updated
02/18/2011
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