Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELANO WAYNE STEPHENSON PHARMD (RPH)
(305) 788-5865
Entity
Organization
Contact information
Practice address
6800 W 28TH AVE, HIALEAH, FL 33018-5305
(305) 828-0268
Mailing address
5069 SW 139TH AVE, MIRAMAR, FL 33027-5947
(305) 788-5865
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
46535
FL
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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