MEDICARE: DR. STEPHANIE MARIE ANDREWS PHARM.D., RPH

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	PS49244	FL
2	183500000X	Pharmacist	PS020029	LA
3	183500000X	Pharmacist	56069	TX

General Provider Information

NPI Number	:	1619223781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE MARIE ANDREWS PHARM.D., RPH

Provider Business Mailing Address
First Line	:	1301 E ARAPAHO RD
Second Line	:	SUITE 103
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2497
Country	:	US
Telephone Number	:	877-306-3211
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 E ARAPAHO RD
Second Line	:	SUITE 103
City	:	RICHARDSON
State	:	TX
Zip	:	75081-2497
Country	:	US
Telephone Number	:	877-306-3211
Fax Number	:

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

Provider Enumeration Date	:	07/26/2012
Last Update Date	:	11/09/2015

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