Provider Demographics
NPI:1972895670
Name:STANLEY AND TURNER DRUG CO
Entity Type:Organization
Organization Name:STANLEY AND TURNER DRUG CO
Other - Org Name:STANLEY PHARMACY COMPOUNDING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMD
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-281-1394
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:501-305-4108
Mailing Address - Fax:501-305-4514
Practice Address - Street 1:2413 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4907
Practice Address - Country:US
Practice Address - Phone:501-305-4108
Practice Address - Fax:501-305-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR082183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0423640OtherNCPDP PROVIDER IDENTIFICATION NUMBER