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NPI Code Detail

MEDICARE: REBECCA STALNAKER RPH

MEDICARE:   REBECCA  STALNAKER  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
1183500000XPharmacist12190MD

General Provider Information

NPI Number : 1700294691
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA STALNAKER RPH
Provider Business Mailing Address
First Line : 110 WALKERS VILLAGE WAY
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8147
Country : US
Telephone Number : 301-845-2811
Fax Number :
Provider Business Practice Location Address
First Line : 110 WALKERS VILLAGE WAY
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8147
Country : US
Telephone Number : 301-845-2811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2014
Last Update Date : 07/24/2014

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Directions to “ REBECCA STALNAKER RPH” Practice Location

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