MEDICARE: STAKERS 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
1	3336C0003X	Community/Retail Pharmacy
2	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3623902	OTHER		NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427073360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAKERS DRUGS INC

Provider Business Mailing Address
First Line	:	2339 GALENA PIKE
Second Line	:
City	:	WEST PORTSMOUTH
State	:	OH
Zip	:	45663
Country	:	US
Telephone Number	:	740-858-2228
Fax Number	:	740-858-9112

Provider Business Practice Location Address
First Line	:	2339 GALENA PIKE
Second Line	:
City	:	WEST PORTSMOUTH
State	:	OH
Zip	:	45663
Country	:	US
Telephone Number	:	740-858-2228
Fax Number	:	740-858-9112

Authorized Official
Title or Position	:	RPH MGR
Name	:	MR. STEPHEN J STAKER
Credential	:	RPH
Telephone Number	:	740-858-2228

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/11/2025

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Directions to “STAKERS DRUGS INC ” Practice Location

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