Individual
JEFF STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1322 AQUILA DR, PUEBLO, CO 81008-2614
(719) 214-3400
Mailing address
1322 AQUILA DR, PUEBLO, CO 81008-2614
(719) 214-3400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13146
CO
Other
Enumeration date
10/24/2005
Last updated
09/01/2016
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