Individual
DR. STEPHEN PAUL SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
38627 BENRO DR, DELMAR, DE 19940-3572
(302) 907-1010
Mailing address
121 HORSEY AVE, LAUREL, DE 19956-1211
(410) 739-8669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0005454
DE
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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