Provider Demographics
NPI:1043592249
Name:STEPHON, RORI (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:RORI
Middle Name:
Last Name:STEPHON
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 1:403 GEORGE CLAUSS BLVD
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1317
Mailing Address - Country:US
Mailing Address - Phone:410-424-4501
Mailing Address - Fax:410-424-4506
Practice Address - Street 1:403 GEORGE CLAUSS BLVD
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1317
Practice Address - Country:US
Practice Address - Phone:410-424-4501
Practice Address - Fax:410-424-4506
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD23636OtherMARYLAND BOARD OF PHARMACY