Provider Demographics
NPI:1487089561
Name:TOLMAN, STUART ELLIOTT (RPH)
Entity type:Individual
Prefix:MR
First Name:STUART
Middle Name:ELLIOTT
Last Name:TOLMAN
Suffix:
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 1:408 STILLWATER LANE
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166
Mailing Address - Country:US
Mailing Address - Phone:561-302-4968
Mailing Address - Fax:
Practice Address - Street 1:408 STILLWATER LANE
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166
Practice Address - Country:US
Practice Address - Phone:561-302-4968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16689183500000X
TN37425183500000X
KY16725183500000X
LAPST020197183500000X
ARPD12262183500000X
AZS019777183500000X
NV10916183500000X
NY34580183500000X
FLPS19593183500000X
SCPH35812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty