Healthcare Provider Details

I. General information

NPI: 1750569927
Provider Name (Legal Business Name): DAVID E STONER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2008
Last Update Date: 02/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 STATE ROUTE 94
BLAIRSTOWN NJ
07825-2122
US

IV. Provider business mailing address

152 STATE ROUTE 94
BLAIRSTOWN NJ
07825-2122
US

V. Phone/Fax

Practice location:
  • Phone: 908-362-9388
  • Fax: 908-362-9372
Mailing address:
  • Phone: 908-362-9388
  • Fax: 908-362-9372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01425000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: