Provider Demographics
NPI:1295855328
Name:OWENS, STEPHANIE TOMLINSON (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:TOMLINSON
Last Name:OWENS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9705 MORSE LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9269
Mailing Address - Country:US
Mailing Address - Phone:804-747-8542
Mailing Address - Fax:
Practice Address - Street 1:6423 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-5272
Practice Address - Country:US
Practice Address - Phone:804-271-9172
Practice Address - Fax:804-271-8451
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist