Provider Demographics
NPI:1194315374
Name:STINER, ERNEST E III (RPH)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:E
Last Name:STINER
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2010
Mailing Address - Country:US
Mailing Address - Phone:973-939-2691
Mailing Address - Fax:973-939-2693
Practice Address - Street 1:200 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2010
Practice Address - Country:US
Practice Address - Phone:973-939-2691
Practice Address - Fax:973-939-2693
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04158200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist