| Mr Kenric Lamar Stephens, PHARMACIST | |
|
1050 W Perimeter Rd, 79th Mdss/sgsp, Andrews Air Force Base, MD 20762-6601 | |
| (240) 857-3689 | |
| (240) 854-4544 |
| Full Name | Mr Kenric Lamar Stephens |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1050 W Perimeter Rd, Andrews Air Force Base, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740373638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PS18999 (Florida) | Secondary |
| 183500000X | Pharmacist | 17177 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenric Lamar Stephens, PHARMACIST 4611 Sharon Rd, Camp Springs, MD 20748-3737 Ph: (301) 702-3016 | Mr Kenric Lamar Stephens, PHARMACIST 1050 W Perimeter Rd, 79th Mdss/sgsp, Andrews Air Force Base, MD 20762-6601 Ph: (240) 857-3689 |
Ms. Patricia Ann Wanzer-burgess, R.PH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 79th Med Group, Mgmc 1050 West Perimeter Rd, Andrews Air Force Base, Andrews Air Force Base, MD 20762 Phone: 240-857-4566 Fax: 240-857-4544 |