Provider Demographics
NPI:1518244599
Name:STAFFORD, APRIL MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MICHELLE
Last Name:STAFFORD
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 1:496 PARISH BLVD
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1477
Mailing Address - Country:US
Mailing Address - Phone:575-693-7910
Mailing Address - Fax:
Practice Address - Street 1:299 W RAILROAD AVE STE P
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-4053
Practice Address - Country:US
Practice Address - Phone:850-634-3502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007642183500000X
ARPD10831183500000X
FLPS53063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist