MEDICARE: TORY STEPHANS PHARMD

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
1	183500000X	Pharmacist	5302412581	MI

General Provider Information

NPI Number	:	1912516717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORY STEPHANS PHARMD

Provider Business Mailing Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 AMERICAN RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-2322
Country	:	US
Telephone Number	:	216-687-2887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	02/05/2026

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Directions to “ TORY STEPHANS PHARMD” Practice Location

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