Davis, Stephanie Marie

Davis, Stephanie Marie is an individual health care provider with primary practice located at 100 Monroe St , Anoka MN 55303-2405. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Davis, Stephanie Marie can be contacted via phone (763) 421-5540.

Contact Information

Primary practice address
100 Monroe St Anoka MN 55303-2405
Phone: (763) 421-5540
Fax: (763) 421-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 116825-5 Minnesota

Profile Details

NPI number 1780682302
LBN Legal business name Davis, Stephanie Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780682302 NPPES
Minnesota Other 116825-5 BOARD OF PHARMACY

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