Provider Demographics
NPI:1033391040
Name:EDINGER, STEFANIE ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:ANN
Last Name:EDINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4239 SUNBEAM RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8849
Mailing Address - Country:US
Mailing Address - Phone:904-448-1713
Mailing Address - Fax:904-448-1722
Practice Address - Street 1:4239 SUNBEAM RD
Practice Address - Street 2:SUITE #1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8849
Practice Address - Country:US
Practice Address - Phone:904-448-1713
Practice Address - Fax:904-448-1722
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist