Provider Demographics
NPI:1346520160
Name:STONE, HAL KENNETH (RPH)
Entity Type:Individual
Prefix:MR
First Name:HAL
Middle Name:KENNETH
Last Name:STONE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:HAL
Other - Middle Name:KENNETH
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5313 FAIRFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2509
Mailing Address - Country:US
Mailing Address - Phone:757-499-5870
Mailing Address - Fax:
Practice Address - Street 1:1800 REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4542
Practice Address - Country:US
Practice Address - Phone:757-422-4520
Practice Address - Fax:757-422-4681
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202003985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist