Most Relevant Information
Provider Data
| NPI Number: | 1003199894 |
| Provider Name: | KIRK SAMUEL STEPHAN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI02895200 |
Most Important Dates
| Enumeration Date: | 09/28/2011 |
| Last Updated: | 09/28/2011 |
Provider Practice Location
9 LANDIS AVE
BRIDGETON
NJ
083024315
Practice Location Phone/Fax
| Phone: | 8564514169 |
| Fax: | 8564516785 |
Provider Mailing Location
9 LANDIS AVE
BRIDGETON
NJ
083024315
Provider Mailing Phone/Fax
| Phone: | 8564514169 |
| Fax: | 8564516785 |