NPI | 1255463287 |
---|---|
Doing Business As | STOVALLS PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | LARRY STOVALL Pharmacist And Co Owner 270-237-5402 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06144) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-03-13 |
Last Update Date | 2015-11-10 |