Provider Demographics
NPI:1114217247
Name:STOKES PHARMACY, INC.
Entity type:Organization
Organization Name:STOKES PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:336-969-0444
Mailing Address - Street 1:P.O. BOX 446
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021
Mailing Address - Country:US
Mailing Address - Phone:336-969-0444
Mailing Address - Fax:336-969-4456
Practice Address - Street 1:8055 BROAD STREET
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045
Practice Address - Country:US
Practice Address - Phone:336-969-0444
Practice Address - Fax:336-969-4456
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STOKES PHARMACY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-11
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70383336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy