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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