Basic Information
Provider Information
NPI: 1518618255
EntityType: 2
ReplacementNPI:  
OrganizationName: STERLING HEALTH SOLUTIONS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: STERLING HEALTH STANTON PHARMACY
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 236 W MAIN ST
Address2:  
City: MOUNT STERLING
State: KY
PostalCode: 403531348
CountryCode: US
TelephoneNumber: 8594047686
FaxNumber: 8594988160
Practice Location
Address1: 68 E ELKINS ST
Address2:  
City: STANTON
State: KY
PostalCode: 403802311
CountryCode: US
TelephoneNumber: 8592744461
FaxNumber: 8592744326
Other Information
ProviderEnumerationDate: 01/14/2022
LastUpdateDate: 07/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BRYANT
AuthorizedOfficialFirstName: TINA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 8594047686
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
3336C0003X  Y SuppliersPharmacyCommunity/Retail Pharmacy

No ID Information.


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