Individual
LAURA STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-4693
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03135879
OH
1835P1200X
Pharmacotherapy Pharmacist
03135879
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
03135879
OH
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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