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Individual

CHAD STOCKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
259 STATE ST, PROCTORVILLE, OH 45669-4011
(740) 886-7685
(740) 886-1493
Mailing address
259 STATE ST, PROCTORVILLE, OH 45669-4011
(740) 886-7685
(740) 886-1493

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03220759
OH

Other

Enumeration date
01/22/2012
Last updated
01/22/2012
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