Individual
MR. DAVID ALLEN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
314 S MAIN ST, CANYONVILLE, OR 97417
(541) 839-4452
(541) 839-4254
Mailing address
PO BOX 468, CANYONVILLE, OR 97417-0468
(541) 839-4452
(541) 839-4254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0008345
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0008345
OR
Other
Enumeration date
04/18/2007
Last updated
09/18/2021
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