Provider Demographics
NPI:1427073360
Name:STAKERS DRUGS INC
Entity type:Organization
Organization Name:STAKERS DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPH MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STAKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-858-2228
Mailing Address - Street 1:2339 GALENA PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663
Mailing Address - Country:US
Mailing Address - Phone:740-858-2228
Mailing Address - Fax:740-858-9112
Practice Address - Street 1:2339 GALENA PIKE
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663
Practice Address - Country:US
Practice Address - Phone:740-858-2228
Practice Address - Fax:740-858-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3623902OtherNABP
OH8365657Medicaid
=========OtherEIN