Provider Demographics
NPI:1962858738
Name:STEVENSON INVESTMENT GROUP, LLC
Entity Type:Organization
Organization Name:STEVENSON INVESTMENT GROUP, LLC
Other - Org Name:A BETTER WAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:LIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-945-0288
Mailing Address - Street 1:204 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3684
Mailing Address - Country:US
Mailing Address - Phone:661-945-0288
Mailing Address - Fax:
Practice Address - Street 1:204 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3684
Practice Address - Country:US
Practice Address - Phone:661-945-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy