Stuart Elliott Tolman, RPH

Individual provider Active NPI Pharmacist · Troutman, NC

NPI 1487089561 · NPPES record last updated Jul 28, 2020

Key facts

NPI
1487089561
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH35812 (SC)
Practice address
408 Stillwater Lane
Troutman, NC 28166
Phone
(561) 302-4968
NPI assigned
Sep 9, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16689NJMDDentist
PD12262ARMDPharmacist
S019777AZMDPharmacist
PS19593FLMDPharmacist
16725KYMDPharmacist
PST020197LAMDPharmacist
10916NVMDPharmacist
34580NYMDPharmacist
PH35812SCMDPharmacist
37425TNMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16689 NJ
Pharmacist 183500000X 37425 TN
Pharmacist 183500000X 16725 KY
Pharmacist 183500000X PST020197 LA
Pharmacist 183500000X PD12262 AR
Pharmacist 183500000X S019777 AZ
Pharmacist 183500000X 10916 NV
Pharmacist 183500000X 34580 NY
Pharmacist 183500000X PS19593 FL
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP
183500000X PH35812 SC Yes

Addresses

Primary practice location

408 Stillwater Lane
Troutman, NC 28166

Mailing address

408 Stillwater Lane
Troutman, NC 28166
Phone (561) 302-4968

Other providers in Troutman, NC

All providers in Troutman, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.