Individual
MR. KENRIC LAMAR STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1050 W PERIMETER RD, 79TH MDSS/SGSP, ANDREWS AIR FORCE BASE, MD 20762-6601
(240) 857-3689
(240) 854-4544
Mailing address
4611 SHARON RD, CAMP SPRINGS, MD 20748-3737
(301) 702-3016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17177
MD
183500000X
Pharmacist
PS18999
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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