Organization
OVERMAN & STEVENSON PHARMACY
Active
Other names
OVERMAN AND STEVENSON
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS STEVENSON (PHRMCST AND PARTNER)
(252) 335-5401
Entity
Organization
Contact information
Practice address
512 E MAIN ST, ELIZABETH CITY, NC 27909-4430
(252) 335-5401
(252) 335-5402
Mailing address
512 E MAIN ST, ELIZABETH CITY, NC 27909-4430
(252) 335-5401
(252) 335-5402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705012
—
NC
01
—
2065832
PK
—
Enumeration date
09/30/2006
Last updated
03/23/2015
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