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NPI Code Detail

MEDICARE: CHRIS STALLO RPH

MEDICARE: CHRIS STALLO RPH
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
1183500000XPharmacist03223684OH

General Provider Information

NPI Number : 1366834616
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS STALLO RPH
Provider Business Mailing Address
First Line : 1425 COLUMBUS AVE
Second Line :
City : LEBANON
State : OH
Zip : 45036-8258
Country : US
Telephone Number : 513-228-7370
Fax Number : 513-228-7395
Provider Business Practice Location Address
First Line : 1425 COLUMBUS AVE
Second Line :
City : LEBANON
State : OH
Zip : 45036-8258
Country : US
Telephone Number : 513-228-7370
Fax Number : 513-228-7395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ CHRIS STALLO RPH” Practice Location

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