Individual
ANTONIO STEPHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7050 ALLENTOWN RD, TEMPLE HILLS, MD 20748-5333
(301) 449-4221
Mailing address
5941 FISHER RD APT 104, TEMPLE HILLS, MD 20748-5911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202215411
VA
183500000X
Pharmacist
Primary
25988
MD
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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