Individual
CRYSTA STEPANIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 STATE ROAD 20, INTERLACHEN, FL 32148-5406
(386) 684-4991
Mailing address
1141 STATE ROAD 20, INTERLACHEN, FL 32148-5406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59494
FL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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