Individual
BRET STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
971 S MAIN ST, KERNERSVILLE, NC 27284-7439
(336) 996-7239
(336) 992-9743
Mailing address
971 S MAIN ST, KERNERSVILLE, NC 27284-7439
(336) 996-7239
(336) 992-9743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346858
—
NC
Enumeration date
03/08/2011
Last updated
07/17/2014
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