Organization Name: | STANDEFER PHARMACY |
NPI Number: | 1073671608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED STANDEFER (PARTNER AND PHARMACIST) |
Mailing Address: | 3051 Main St Pikeville |
State: | TN US |
Postal Code: | 373670150 |
Phone Number: | 4234472134 |
Fax Number: | 4234476330 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |