Individual
MR. CALVIN WELDON STEPHENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
911 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 391-3636
Mailing address
2218 TRENTON DR, TUSCALOOSA, AL 35406-1619
(205) 343-1657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7641
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7641
STATE LICENSE NUMBER
AL
Enumeration date
10/18/2005
Last updated
07/08/2007
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