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Individual

DR. STEPHEN P ERNEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
KROGER PHARMACY STORE 248, 100 FOREST PARK PLAZA, BRAZIL, IN 47834
(812) 442-6700
(812) 442-6606
Mailing address
KROGER PHARMACY STORE 248, 100 FOREST PARK PLAZA, BRAZIL, IN 47834
(812) 442-6700
(812) 442-6606

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017876A
IN

Other

Enumeration date
11/27/2019
Last updated
11/27/2019
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