Organization Name: | STOUTS PHARMACY INC |
NPI Number: | 1023189040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE D. PFALZGRAF (PRESIDENT) |
Mailing Address: | 3007 Dudley Ave Parkersburg |
State: | WV US |
Postal Code: | 261041817 |
Phone Number: | 3044226511 |
Fax Number: | 3044858832 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | SP0552220 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |