Provider Demographics
NPI:1215361399
Name:STAPLEY PHARMACY INC
Entity Type:Organization
Organization Name:STAPLEY PHARMACY INC
Other - Org Name:STAPLEY PHARMACY AT DINO CROSSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:435-627-2910
Mailing Address - Street 1:446 S MALL DR STE B8
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4947
Mailing Address - Country:US
Mailing Address - Phone:435-627-2910
Mailing Address - Fax:435-627-2785
Practice Address - Street 1:446 S MALL DR STE B8
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4947
Practice Address - Country:US
Practice Address - Phone:435-627-2910
Practice Address - Fax:435-627-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy