Organization
STEPHENSON PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JAMES HEALY R.PH. (MANAGER)
(903) 593-0236
Entity
Organization
Contact information
Practice address
1000 S FLEISHEL AVE, TYLER, TX 75701-2037
(903) 593-0236
(903) 593-9375
Mailing address
1000 S FLEISHEL AVE, TYLER, TX 75701-2037
(903) 593-0236
(903) 593-9375
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14598701
—
TX
Enumeration date
08/21/2020
Last updated
08/21/2020
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