Individual
JILLIAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
424 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4674
(919) 989-4058
Mailing address
1052 RIDGE DR, CLAYTON, NC 27520-9667
(419) 512-1662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03233197
OH
183500000X
Pharmacist
Primary
25724
NC
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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