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NPI Code Detail

MEDICARE: MRS. SIMONE STEVENS PHARMD.

MEDICARE: MRS. SIMONE STEVENS 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
1183500000XPharmacistPST.018616LA

General Provider Information

NPI Number : 1093517104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SIMONE STEVENS PHARMD.
Provider Business Mailing Address
First Line : 1028 PIERRE WASHINGTON RD
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-7627
Country : US
Telephone Number : 337-967-1554
Fax Number :
Provider Business Practice Location Address
First Line : 103 E MAIN ST
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4616
Country : US
Telephone Number : 337-839-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 03/27/2025

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Directions to “ MRS. SIMONE STEVENS PHARMD.” Practice Location

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