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NPI Code Detail

MEDICARE: DR. JONATHAN DUFF STONE PHARM D

MEDICARE: DR. JONATHAN DUFF STONE 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
1183500000XPharmacistRPH33248CA

General Provider Information

NPI Number : 1457343832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN DUFF STONE PHARM D
Provider Business Mailing Address
First Line : 31805 US HIGHWAY 79 S
Second Line : #562
City : TEMECULA
State : CA
Zip : 92592-8200
Country : US
Telephone Number : 951-347-9292
Fax Number :
Provider Business Practice Location Address
First Line : 624 E ELDER ST
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3004
Country : US
Telephone Number : 760-723-9522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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