Healthcare Provider Details

I. General information

NPI: 1073500211
Provider Name (Legal Business Name): VALERIE STANARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 BAY PINES BLVD BUILDING 100
ST. PETERSBURG FL
33708
US

IV. Provider business mailing address

8578 SWEET MAGNOLIA PL
SEMINOLE FL
33777-4600
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6661
  • Fax: 727-319-1052
Mailing address:
  • Phone: 727-398-6661
  • Fax: 727-319-1052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number0202205364
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: