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Individual
ERICA CIPRIANO STEVENSON
Active
Individual
ERICA CIPRIANO STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055727
STATE LICENSE NUMBER
—
01
—
55727
NEW YORK STATE
NY
Enumeration date
07/25/2011
Last updated
07/25/2018
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