Provider Demographics
NPI:1215189568
Name:STAINFIELD, CHARLES SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:SCOTT
Last Name:STAINFIELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9520 MONCLOVA RD
Mailing Address - Street 2:
Mailing Address - City:MONCLOVA
Mailing Address - State:OH
Mailing Address - Zip Code:43542-9431
Mailing Address - Country:US
Mailing Address - Phone:419-867-0351
Mailing Address - Fax:
Practice Address - Street 1:1012 W SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-1702
Practice Address - Country:US
Practice Address - Phone:419-478-8177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03216711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist