Provider Demographics
NPI:1609141555
Name:STONE, HELENA (RPH)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BRIDEWELL PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07014-1724
Mailing Address - Country:US
Mailing Address - Phone:973-779-0189
Mailing Address - Fax:973-779-0717
Practice Address - Street 1:20 BRIDEWELL PL
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07014-1724
Practice Address - Country:US
Practice Address - Phone:973-779-0189
Practice Address - Fax:973-779-0717
Is Sole Proprietor?:No
Enumeration Date:2012-03-11
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO2511900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist