Provider Demographics
NPI:1134662539
Name:STINSON, TROY MICHAEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:MICHAEL
Last Name:STINSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6096 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1618
Mailing Address - Country:US
Mailing Address - Phone:513-587-6202
Mailing Address - Fax:513-587-7650
Practice Address - Street 1:6096 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-1618
Practice Address - Country:US
Practice Address - Phone:513-587-6202
Practice Address - Fax:513-587-7650
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03131663183500000X
KY016269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist