Individual
NANCY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 N CASS ST, WABASH, IN 46992-2444
(260) 563-6941
Mailing address
486 N CASS ST, WABASH, IN 46992-2444
(260) 563-6941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020168A
IN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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