Provider Demographics
NPI:1134782279
Name:COX, STEPHANIE DENISE (RPH)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:DENISE
Last Name:COX
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 BRAEBURN CT
Mailing Address - Street 2:
Mailing Address - City:WALKERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21793-7120
Mailing Address - Country:US
Mailing Address - Phone:301-471-3993
Mailing Address - Fax:844-411-6310
Practice Address - Street 1:1700 KINGFISHER DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4775
Practice Address - Country:US
Practice Address - Phone:301-815-2201
Practice Address - Fax:844-411-6310
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD124531835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist