Most Relevant Information
Provider Data
| NPI Number: | 1003362609 |
| Provider Name: | GINA STEFAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26357 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 09/01/2016 |
Provider Practice Location
1235 PECAN AVE
CHARLOTTE
NC
282055037
Practice Location Phone/Fax
| Phone: | 7048140272 |
| Fax: |
Provider Mailing Location
4908 HOUSTON FIELD COURT
CHARLOTTE
NC
28277
Provider Mailing Phone/Fax
| Phone: | 7048140272 |
| Fax: |