Provider Demographics
NPI:1174768808
Name:STONE, DAVID S (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:STONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-8764
Mailing Address - Country:US
Mailing Address - Phone:610-858-1044
Mailing Address - Fax:
Practice Address - Street 1:108 OXFORD DR
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-8764
Practice Address - Country:US
Practice Address - Phone:610-858-1044
Practice Address - Fax:215-679-5410
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI000051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI000051OtherSTATE BOARD OF PHARMACY