Organization
STEVENSON FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEVENSON RPH (PRESIDENT)
(816) 238-2424
Entity
Organization
Contact information
Practice address
6201 KING HILL AVE, SAINT JOSEPH, MO 64504-2063
(816) 238-2424
(816) 538-6717
Mailing address
6201 KING HILL AVE, SAINT JOSEPH, MO 64504-2063
(816) 238-2424
(816) 238-6717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
3336C0003X
Community/Retail Pharmacy
Primary
004687
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14405013
BCBSKC
MO
05
—
600200604
—
MO
05
—
620200600
—
MO
Enumeration date
06/04/2006
Last updated
01/14/2013
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