Provider Demographics
NPI:1508178120
Name:STEVENS, RONELLE ERICA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RONELLE
Middle Name:ERICA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RONELLE
Other - Middle Name:ERICA
Other - Last Name:HELME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:L-2 PHARMACY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-8887
Mailing Address - Fax:617-975-0989
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:L-2 PHARMACY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8887
Practice Address - Fax:617-975-0989
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26749183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist