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NPI Code Detail

MEDICARE: DR. STEPHEN EA PHARMD

MEDICARE: DR. STEPHEN EA 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
1183500000XPharmacist81869CA

General Provider Information

NPI Number : 1447890892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN EA PHARMD
Provider Business Mailing Address
First Line : 3710 TWEEDY BLVD
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-6046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3710 TWEEDY BLVD
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-6046
Country : US
Telephone Number : 323-249-9944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 02/27/2021

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Directions to “ DR. STEPHEN EA PHARMD” Practice Location

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