Provider Demographics
NPI:1750569927
Name:STONER, DAVID E (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:STONER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 STATE ROUTE 94
Mailing Address - Street 2:
Mailing Address - City:BLAIRSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-2122
Mailing Address - Country:US
Mailing Address - Phone:908-362-9388
Mailing Address - Fax:908-362-9372
Practice Address - Street 1:152 STATE ROUTE 94
Practice Address - Street 2:
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825-2122
Practice Address - Country:US
Practice Address - Phone:908-362-9388
Practice Address - Fax:908-362-9372
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01425000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist