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Individual

DR. STEPHANIE W. MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4157
(904) 244-4272
Mailing address
924 BROOKHAVEN DR, ST AUGUSTINE, FL 32092-1057
(904) 244-4157
(904) 244-4272

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS29670
FL

Other

Enumeration date
12/13/2005
Last updated
07/08/2007
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