Individual
REBECCA ANN STEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3805 FARMDALE DR, VALPARAISO, IN 46383-1850
(219) 405-0675
Mailing address
3805 FARMDALE DR, VALPARAISO, IN 46383-1850
(219) 405-0675
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67026160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30114088
PTCB
IN
01
—
67026160A
PHARMACY BOARD
IN
Enumeration date
05/13/2020
Last updated
05/13/2020
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