Individual
EVAN MATTHEW STOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5537 MARKET ST, PHILADELPHIA, PA 19139-3209
(215) 474-1700
(215) 474-0100
Mailing address
5 MORNINGSIDE DR, YARDLEY, PA 19067-3015
(609) 206-9435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP438637
PA
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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