Provider Demographics
NPI:1033644240
Name:STALL, CLAIRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:STALL
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 1:2100 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2791
Mailing Address - Country:US
Mailing Address - Phone:513-585-3000
Mailing Address - Fax:
Practice Address - Street 1:2100 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2791
Practice Address - Country:US
Practice Address - Phone:513-585-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26028083A183500000X
KY019367183500000X
OH06011689390200000X
OH03337381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program