Whalio Doctors

NPI 1093726630

Stephens Pharmacy INC

Organisation Community/Retail Pharmacy Bolivar, MO

Practice location

Address
1100 S Springfield Ave, Bolivar, MO 65613-2512
Phone
(417) 326-2416
Fax
(417) 326-6625

Authorised official

Name
Micheal Stephens
Title
Pharmacy Owner
Phone
(417) 326-2416

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 006309 (MO)
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1093726630
Entity type
Organization
NPI issued
10 Aug 2006
Record last updated
22 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.