Provider Demographics
NPI:1558038653
Name:STANLEY AND TURNER DRUG CO
Entity Type:Organization
Organization Name:STANLEY AND TURNER DRUG CO
Other - Org Name:CONWAY OUTPATIENT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUMNER
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-305-4108
Mailing Address - Street 1:2413 W BEEBE CAPPS EXPY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4907
Mailing Address - Country:US
Mailing Address - Phone:501-281-1374
Mailing Address - Fax:
Practice Address - Street 1:2180 ADA AVE STE 100
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4916
Practice Address - Country:US
Practice Address - Phone:501-255-3500
Practice Address - Fax:501-255-3434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STANLEY AND TURNER DRUG CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-26
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy