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NPI Code Detail

MEDICARE: ELIZABETH STIVERS

MEDICARE: ELIZABETH STIVERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist017931KY

General Provider Information

NPI Number : 1366811242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH STIVERS
Provider Business Mailing Address
First Line : 3175 BEAUMONT CENTRE CIR
Second Line : PATIENT CARE CENTER
City : LEXINGTON
State : KY
Zip : 40513-1957
Country : US
Telephone Number : 859-373-0841
Fax Number :
Provider Business Practice Location Address
First Line : 3175 BEAUMONT CENTRE CIR
Second Line : PATIENT CARE CENTER
City : LEXINGTON
State : KY
Zip : 40513-1957
Country : US
Telephone Number : 859-373-0841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 09/21/2015

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Directions to “ ELIZABETH STIVERS ” Practice Location

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