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NPI Code Detail

MEDICARE: DR. NATHAN PAUL STOCKMAN PHARM.D.

MEDICARE:  DR. NATHAN PAUL STOCKMAN  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
1183500000XPharmacist03-1-22372OH

General Provider Information

NPI Number : 1558369868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN PAUL STOCKMAN PHARM.D.
Provider Business Mailing Address
First Line : 5519 KNOLLCREST CT
Second Line :
City : DAYTON
State : OH
Zip : 45429-5913
Country : US
Telephone Number : 937-291-4042
Fax Number :
Provider Business Practice Location Address
First Line : 1 WYOMING ST
Second Line :
City : DAYTON
State : OH
Zip : 45409-2722
Country : US
Telephone Number : 937-208-2580
Fax Number : 937-208-2480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/08/2007

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Directions to “ DR. NATHAN PAUL STOCKMAN PHARM.D.” Practice Location

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