Provider Demographics
NPI:1871651240
Name:STANLEY, D. SCOTT
Entity Type:Individual
Prefix:DR
First Name:D.
Middle Name:SCOTT
Last Name:STANLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CLUB CV
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7440
Mailing Address - Country:US
Mailing Address - Phone:501-279-9525
Mailing Address - Fax:501-305-1002
Practice Address - Street 1:2007 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5014
Practice Address - Country:US
Practice Address - Phone:501-305-1000
Practice Address - Fax:501-305-1002
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist