Individual
JIMMY STEVENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10160 E BELL RD, SCOTTSDALE, AZ 85260-2340
(425) 876-0486
Mailing address
4242 E CACTUS RD, APT 134, PHOENIX, AZ 85032-7674
(425) 876-0486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020832
AZ
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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