NPI | 1205900735 |
---|---|
Doing Business As | STONE PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | THOMAS MATTHEW CONRAD Owner 864-233-7940 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-11-17 |
Last Update Date | 2021-11-10 |