Organization
STEVERSON PHARMACY SERVICES INC
Active
Other names
KINGS DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEVERSON R PH (OWNER PHARMACIST)
(850) 638-4875
Entity
Organization
Contact information
Practice address
1242 MAIN ST, CHIPLEY, FL 32428-2471
(850) 638-4875
(850) 638-9195
Mailing address
1242 MAIN ST, CHIPLEY, FL 32428-2471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21131
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028344400
—
FL
01
—
1010747
OTHER ID NUMBER
—
Enumeration date
08/07/2006
Last updated
02/11/2020
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