Provider Demographics
NPI:1679128219
Name:STEMPLE, ERIC DAVID (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:DAVID
Last Name:STEMPLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-4310
Mailing Address - Country:US
Mailing Address - Phone:812-422-6330
Mailing Address - Fax:812-422-6418
Practice Address - Street 1:2020 E MORGAN AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-4310
Practice Address - Country:US
Practice Address - Phone:812-422-6330
Practice Address - Fax:812-422-6418
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026051A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty