A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1386714715 |
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| LBN Legal business name | STALLARDS PHARMACY INC | ||||||||||||||||||||
| Authorized official | JAMES STALLARD - (PRESIDENT OWNER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 11/09/2006 | ||||||||||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||||||||||
| Identifiers |
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STALLARDS PHARMACY INC
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