Provider Demographics
NPI:1841515897
Name:STONE, FELICIA (RPH)
Entity type:Individual
Prefix:
First Name:FELICIA
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 1:31490 SR 20
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3117
Mailing Address - Country:US
Mailing Address - Phone:360-675-3497
Mailing Address - Fax:360-675-8453
Practice Address - Street 1:31490 SR 20
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-3117
Practice Address - Country:US
Practice Address - Phone:360-675-3497
Practice Address - Fax:360-675-8453
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00040464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist