Individual
DEREK STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1622 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-4521
(719) 244-9572
Mailing address
1622 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-4521
(719) 244-9572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21527
CO
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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