| NPI | 1891169090 |
|---|---|
| Doing Business As | STEPHENS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILHEMINA SMITH FRY Owner/Sole Member 843-686-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16203) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |