Stoltmann, Russell Karl

Stoltmann, Russell Karl is an individual health care provider with primary practice located at 280 Sw Port St Lucie Blvd , Port St Lucie FL 34984-5044. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stoltmann, Russell Karl can be contacted via phone (772) 878-6353.

Contact Information

Primary practice address
280 Sw Port St Lucie Blvd Port St Lucie FL 34984-5044
Phone: (772) 878-6353
Fax: (772) 878-4967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS 27057 Florida

Profile Details

NPI number 1477835148
LBN Legal business name Stoltmann, Russell Karl
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2011
Last updated Sep 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477835148 NPPES
Florida Other PS 27057 PHARMACY LISCENSE

Popular Providers