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NPI Code Detail

MEDICARE: PAUL D. STONE PHARM.D., R.PH.

MEDICARE: PAUL D. STONE PHARM.D., R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP-039426-LPA
2183500000XPharmacist35409TX

General Provider Information

NPI Number : 1609877745
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL D. STONE PHARM.D., R.PH.
Provider Business Mailing Address
First Line : 167 JACKSON RD
Second Line :
City : KILGORE
State : TX
Zip : 75662-0009
Country : US
Telephone Number : 717-448-6174
Fax Number :
Provider Business Practice Location Address
First Line : 2001 N JEFFERSON AVE
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75455-2338
Country : US
Telephone Number : 903-577-6096
Fax Number : 903-577-6396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 06/10/2020

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