Organization
STONEWALL FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOMCHAEL STEPHENS PHARMD (OWNER)
(318) 925-9400
Entity
Organization
Contact information
Practice address
160 STONECREEK DR, SUITE C, STONEWALL, LA 71078
(318) 925-9400
Mailing address
160 STONECREEK DR, SUITE C, STONEWALL, LA 71078
(318) 925-9400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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