Provider Demographics
NPI:1275060378
Name:STILLINGS, AMBER
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:STILLINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6691 WILLOW GROVE LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2106
Mailing Address - Country:US
Mailing Address - Phone:614-766-1527
Mailing Address - Fax:
Practice Address - Street 1:5991 S SUNBURY RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3842
Practice Address - Country:US
Practice Address - Phone:614-895-1575
Practice Address - Fax:614-839-0425
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03122578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist