Individual
DR. ELECTRA STILLWAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2100 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-3518
(614) 891-1410
Mailing address
890 GATEHOUSE LN, COLUMBUS, OH 43235-1734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03327562
OH
183500000X
Pharmacist
PS41829
FL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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