Provider Demographics
NPI:1710265277
Name:STEPHENS, ALEX K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:K
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5655 FRIST BLVD
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2053
Mailing Address - Country:US
Mailing Address - Phone:615-316-4870
Mailing Address - Fax:615-316-4878
Practice Address - Street 1:5655 FRIST BLVD
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2053
Practice Address - Country:US
Practice Address - Phone:615-316-4870
Practice Address - Fax:615-316-4878
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35771183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist