Provider Demographics
NPI:1851830137
Name:STEVERSON, ERIC NEWMAN (PHARM D, MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:NEWMAN
Last Name:STEVERSON
Suffix:
Gender:M
Credentials:PHARM D, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36206-1387
Mailing Address - Country:US
Mailing Address - Phone:256-820-6901
Mailing Address - Fax:
Practice Address - Street 1:2413 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36206-1387
Practice Address - Country:US
Practice Address - Phone:256-820-6901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-19
Last Update Date:2017-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist