Individual
MR. DEREK CASEY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4711 BAYOU BLVD, TARGET PHARMACY STORE NUMBER T-0686, PENSACOLA, FL 32503-2607
(850) 494-9077
(850) 494-9077
Mailing address
4711 BAYOU BLVD, TARGET PHARMACY STORE NUMBER T-0686, PENSACOLA, FL 32503-2607
(850) 494-9077
(850) 494-9077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41242
FL
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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