Individual
CAROL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1073 HIGHWAY 51, MADISON, MS 39110-9085
(601) 605-0402
Mailing address
1073 HIGHWAY 51, MADISON, MS 39110-9085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15913
LA
183500000X
Pharmacist
Primary
E-08717
MS
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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