Individual
MR. COSIMO D STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 N BEST AVE, WALNUTPORT, PA 18088-1208
(610) 767-2541
(610) 767-2901
Mailing address
937 STRATFORD ST, BETHLEHEM, PA 18018-3333
(610) 974-8954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP029692L
PA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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