Healthcare Provider Details

I. General information

NPI: 1215036090
Provider Name (Legal Business Name): HELEN STUPALSKY STERN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HELEN ELIZABETH STUPALSKY RPH

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13640 STEELECROFT PKWY SUITE 120
CHARLOTTE NC
28278-7565
US

IV. Provider business mailing address

PO BOX 32861
CHARLOTTE NC
28232-2861
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-5300
  • Fax: 704-583-2215
Mailing address:
  • Phone: 704-355-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7974
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: