Dera Leigh Stalnaker in Bristol - Pharmacist
Dera Leigh Stalnaker - NPI 1699785683
Dera Leigh Stalnaker is a Pharmacist in Bristol, Tennessee. Dera Leigh Stalnaker practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Dera Leigh Stalnaker is 1699785683. The last update date is 2007-07-08.
Dera Leigh Stalnaker's current location address is 310 Bluff City Highway, Bristol, Tennessee. You can contact this provider via phone number 4237644136 and fax number 4237645167. The mailing address for Dera Leigh Stalnaker is 310 Bluff City Highway, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dera Leigh Stalnaker |
|---|---|
| Address | 310 Bluff City Highway, Bristol, Tennessee |
| Phone Number | 4237644136 |
| Fax Number | 4237645167 |
| Sole Proprietor | N |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1699785683 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 Bluff City Highway |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 37600 |
| Phone Number | 4237644136 |
| Fax Number | 4237645167 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 24207 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Dera Leigh Stalnaker's unique identification number?
The Dera Leigh Stalnaker has been assigned the NPI (National Provider Identifier) Number 1699785683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Dera Leigh Stalnaker?
The Dera Leigh Stalnaker is situated at 310 Bluff City Highway, in the city of Bristol, state of TN, with the zip code 37600.
What is Dera Leigh Stalnaker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dera Leigh Stalnaker's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Dera Leigh Stalnaker receive its 1699785683 assignment from the Centers for Medicare & Medicaid Services?
The Dera Leigh Stalnaker was assigned its 1699785683 by the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information regarding Dera Leigh Stalnaker most recently updated?
The details pertaining to the Dera Leigh Stalnaker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.