Individual
MARK BRENT STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
479 BYPASS 72 NW STE 100, GREENWOOD, SC 29649-1405
(864) 223-8909
(864) 538-6489
Mailing address
479 BYPASS 72 NW STE 100, GREENWOOD, SC 29649-1405
(864) 223-8909
(864) 538-6489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11166
SC
Other
Enumeration date
09/20/2012
Last updated
05/24/2015
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