Organization
TANK CHESTERFIELD LLC
Active
Other names
Chesterfield Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY HICKS STEGMAN PHARM D (PIC)
(214) 395-2987
Entity
Organization
Contact information
Practice address
102 N SHILOH RD STE 305, GARLAND, TX 75042-6695
(972) 272-0840
(214) 594-9669
Mailing address
9139 VINTAGE OAKS CT, DALLAS, TX 75231-4705
(214) 395-2987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31922
TX
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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