NPI 1023494903

Tisa Stephenson, PHARMD

Practitioner Pharmacy Technician Austin, TX

Practice location

Address: 10107 Research Blvd, Austin, TX 78759-5803
Phone: (512) 687-1316

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 29170 (TX)

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Registry record

NPI: 1023494903
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2015
Record last updated: 3 Aug 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.