Individual
DR. STEPHANIE KOURTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCACP
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
535 WATSON DR, CLAREMONT, CA 91711-4817
(248) 275-8317
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH80480
CA
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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