Provider Demographics
NPI:1023216439
Name:CASTELLAT, STEPHANIE HOPKINS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:HOPKINS
Last Name:CASTELLAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6409 RHEMISH DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4776
Mailing Address - Country:US
Mailing Address - Phone:910-423-5226
Mailing Address - Fax:
Practice Address - Street 1:DEPT. OF VETERAN AFFAIRS MEDICAL CENTER
Practice Address - Street 2:2300 RAMSEY ST
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3899
Practice Address - Country:US
Practice Address - Phone:910-488-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist