Provider Demographics
NPI:1689861304
Name:STONEROCK, LAURA ANN (PHARMD RPH)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:STONEROCK
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21050 RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-9238
Mailing Address - Country:US
Mailing Address - Phone:937-642-9580
Mailing Address - Fax:
Practice Address - Street 1:411 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1019
Practice Address - Country:US
Practice Address - Phone:937-644-1322
Practice Address - Fax:937-644-2360
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03228249OtherOHIO STATE BOARD OF PHARMACY