Provider Demographics
NPI:1982172441
Name:STERLING, DALLAS DOUGLAS
Entity Type:Individual
Prefix:
First Name:DALLAS
Middle Name:DOUGLAS
Last Name:STERLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 CHAGRIN VLY
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7965
Mailing Address - Country:US
Mailing Address - Phone:419-721-8817
Mailing Address - Fax:
Practice Address - Street 1:2021 BROAD AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2749
Practice Address - Country:US
Practice Address - Phone:419-422-9521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03217903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist