Provider Demographics
NPI:1639396732
Name:STOKES HEALTH CARE
Entity Type:Organization
Organization Name:STOKES HEALTH CARE
Other - Org Name:STOKES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHRM
Authorized Official - Prefix:
Authorized Official - First Name:EMMETT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-505-5222
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-0039
Mailing Address - Country:US
Mailing Address - Phone:856-505-5222
Mailing Address - Fax:856-505-5899
Practice Address - Street 1:8000 COMMERCE PKWY
Practice Address - Street 2:STE 600
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2209
Practice Address - Country:US
Practice Address - Phone:856-505-5222
Practice Address - Fax:856-505-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336H0001X, 3336M0002X, 3336S0011X
NJ28RS006683003336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2056131OtherPK