MR. Stephen Lavern Anderson

NPI #1033786389 in Purvis, Mississippi

Provider Information

NPI Number: 1033786389
Entity Type: Individual
Name: MR. Stephen Lavern Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jun 7, 2021
Last Updated: Jun 7, 2021

Practice Location

Address: 5796 US HIGHWAY 11
City: Purvis
State: Mississippi
ZIP Code: 39475-5004
Phone: (601) 794-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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