Individual
DR. STEPHEN JOSEPH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(504) 559-6092
Mailing address
102 CAMBON CT, LA PLACE, LA 70068-5903
(504) 559-6092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
023901
LA
333600000X
Pharmacy
21875
AL
333600000X
Pharmacy
Primary
PST.023901
LA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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