Individual
JASON ANTHONY STIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
702 E LINCOLNWAY, LA PORTE, IN 46350-3889
(219) 362-7133
(219) 362-2833
Mailing address
3711 N 100 W, LA PORTE, IN 46350-7858
(219) 362-3180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019517A
IN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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