Individual
STAN R STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9385 FAIRVIEW PKWY, NOBLESVILLE, IN 46060-1582
(317) 776-1269
Mailing address
9385 FAIRVIEW PKWY, NOBLESVILLE, IN 46060-1582
(317) 776-1269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-09720
KS
183500000X
Pharmacist
Primary
26022596A
IN
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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