Organization
STEPHENS OUTREACH CENTER, INC
Active
Organization
STEPHENS OUTREACH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN J STEPHENS (OWNER)
(910) 738-7865
Entity
Organization
Contact information
Practice address
13104 NC HIGHWAY 130 E, FAIRMONT, NC 28340-9597
(910) 535-1423
Mailing address
2105 E ELIZABETHTOWN RD # B, LUMBERTON, NC 28358-3107
(910) 738-7865
(910) 738-2860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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