Provider Demographics
NPI:1083429302
Name:STUARTS DRAFT FAMILY PHARMACY INC
Entity type:Organization
Organization Name:STUARTS DRAFT FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHREYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-337-3776
Mailing Address - Street 1:2929 STUARTS DRAFT HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-2894
Mailing Address - Country:US
Mailing Address - Phone:540-337-3776
Mailing Address - Fax:
Practice Address - Street 1:2929 STUARTS DRAFT HWY STE 101
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477-2894
Practice Address - Country:US
Practice Address - Phone:540-337-3776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy