| NPI | 1457433781 |
|---|---|
| Doing Business As | STONEY CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANA RICHARD HORN Owner/Manager 228-281-0790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002653) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-07-21 |