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NPI Code Detail

MEDICARE: STANTON DRUGS INC

MEDICARE: STANTON DRUGS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacyP07468KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22132198OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396028999
Entity Type Code : Organization
Provider Name (Legal Business Name) : STANTON DRUGS INC
Provider Business Mailing Address
First Line : 638 E COLLEGE AVE
Second Line :
City : STANTON
State : KY
Zip : 40380-2363
Country : US
Telephone Number : 606-663-8990
Fax Number : 606-663-8993
Provider Business Practice Location Address
First Line : 638 E COLLEGE AVE
Second Line :
City : STANTON
State : KY
Zip : 40380-2363
Country : US
Telephone Number : 606-663-8990
Fax Number : 606-663-8993
Authorized Official
Title or Position : PRESIDENT
Name : STEVE WHITAKER
Credential :
Telephone Number : 859-585-4573
Provider Enumeration Date : 09/21/2011
Last Update Date : 03/15/2017

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Directions to “STANTON DRUGS INC ” Practice Location

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