Vanzale, Stacey Lynn

Vanzale, Stacey Lynn is an individual health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Vanzale, Stacey Lynn can be contacted via phone (440) 816-8494.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (440) 816-8494
Fax: (440) 816-8880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-3-25455 Ohio

Profile Details

NPI number 1720119183
LBN Legal business name Vanzale, Stacey Lynn
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720119183 NPPES
Ohio Other 03-3-25455 PHARMACY LICENSE

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