Individual
BLAKE EDWARD STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3997 UNIVERSITY DR NW, HUNTSVILLE, AL 35816-3172
(256) 534-2785
Mailing address
3106 SANDSTONE ST SE, HAMPTON COVE, AL 35763-7022
(256) 652-6866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16166
AL
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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