Organization
STEPHENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY STEPHENS (PRESIDENT)
(843) 686-3735
Entity
Organization
Contact information
Practice address
430 WILLIAM HILTON PKWY, SUITE 302 B, HILTON HEAD ISLAND, SC 29926-2424
(843) 686-3735
(843) 686-3035
Mailing address
430 WILLIAM HILTON PKWY, SUITE 302 B, HILTON HEAD ISLAND, SC 29926-2424
(843) 686-3735
(843) 686-3035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50006936
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50006936
PHARMACY PERMIT
SC
Enumeration date
02/26/2007
Last updated
01/26/2011
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