Individual
MICHAELA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E HAPPY VALLEY ST, CAVE CITY, KY 42127-8845
(270) 773-2090
Mailing address
502 E HAPPY VALLEY ST, CAVE CITY, KY 42127-8845
(270) 773-2090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017350
KY
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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