Alexis Ebling-Stout, Rph
Pharmacist in Lemoyne, PA. Individual provider (NPI-1).
NPI number1497350482
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1497350482
- Entity type
- Individual (NPI-1)
- Name
- Alexis Ebling-Stout
- Credential
- Rph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP453605 | PA | Yes |
Practice location
1200 Market StLemoyne, PA 17043-1417
Phone 717-761-1995
Mailing address
14 Penny LnLebanon, PA 17046-9215
Phone 717-644-3362
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