Healthcare Provider Details
I. General information
NPI: 1063833275
Provider Name (Legal Business Name): THERESA MARIE STEHMER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/16/2013
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
DUMC DEPARTMENT OF PHARMACY BOX 3089
DURHAM NC
27710-0001
US
IV. Provider business mailing address
DUMC DEPARTMENT OF PHARMACY BOX 3089
DURHAM NC
27710-0001
US
V. Phone/Fax
- Phone: 919-684-2414
- Fax: 919-681-3895
- Phone:
- Fax: 919-681-3895
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S019238 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835X0200X |
| Taxonomy | Oncology Pharmacist |
| License Number | 23652 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: