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General NPI Number Information
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NPI Number | 1952349367
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Entity Type | Organization
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Legal Business Name | STEVENSON FAMILY PHARMACY, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 6201 KING HILL AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64504-2063
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Country | US
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Telephone | 816-238-2424
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Fax | 816-538-6717
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Provider Business Mailing Address
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Address Line | 6201 KING HILL AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64504-2063
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Country | US
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Telephone | 816-238-2424
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Fax | 816-238-6717
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID STEVENSON
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Credential | RPH
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Telephone | 816-238-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 004687
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License Number State | MO
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