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NPI Code Detail

MEDICARE: MARK STIMPLE PHARM D.

MEDICARE: MARK STIMPLE PHARM D.
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
1183500000XPharmacist03324121OH

General Provider Information

NPI Number : 1336421742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK STIMPLE PHARM D.
Provider Business Mailing Address
First Line : 1444 W 5TH AVE
Second Line :
City : GRANDVIEW HEIGHTS
State : OH
Zip : 43212-2400
Country : US
Telephone Number : 614-486-3308
Fax Number : 614-486-3656
Provider Business Practice Location Address
First Line : 1444 W 5TH AVE
Second Line :
City : GRANDVIEW HEIGHTS
State : OH
Zip : 43212-2400
Country : US
Telephone Number : 614-486-3308
Fax Number : 614-486-3656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 09/12/2011

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Directions to “ MARK STIMPLE PHARM D.” Practice Location

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