Individual
MR. ERICK RICHARD STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 S TRUMAN BLVD, FESTUS, MO 63028-2232
(636) 937-3641
Mailing address
519 S TRUMAN BLVD, FESTUS, MO 63028-2232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004005629
MO
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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