# STEVENS M BASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134397615
- **Gender:** Man
- **Credential:** RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 28R101168900 | NJ | Yes |
| 183500000X | Pharmacist | PS18648 | FL | — |

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 02/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28R101168900 | PHARMACY LICENSE | NJ |
| 01 | — | PS18648 | PHARMACY LICENSE | FL |