Provider Demographics
NPI:1215036090
Name:STERN, HELEN STUPALSKY (RPH)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:STUPALSKY
Last Name:STERN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:ELIZABETH
Other - Last Name:STUPALSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 32861
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2861
Mailing Address - Country:US
Mailing Address - Phone:704-355-2000
Mailing Address - Fax:
Practice Address - Street 1:13640 STEELECROFT PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7565
Practice Address - Country:US
Practice Address - Phone:704-512-5300
Practice Address - Fax:704-583-2215
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist