Individual
DR. CHANDLER AUSTIN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
9285 HALLS FERRY RD, JENNINGS, MO 63136-5144
(314) 867-1360
Mailing address
9285 HALLS FERRY RD, JENNINGS, MO 63136-5144
(314) 867-1360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022033463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022033463
BOARD OF PHARMACY
MO
Enumeration date
08/24/2022
Last updated
10/18/2023
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