Provider Demographics
NPI:1740885177
Name:STEVENS, DARIAN LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DARIAN
Middle Name:LYNN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6764 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COTTRELLVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48039-2252
Mailing Address - Country:US
Mailing Address - Phone:810-765-3585
Mailing Address - Fax:810-765-3590
Practice Address - Street 1:6764 RIVER RD
Practice Address - Street 2:
Practice Address - City:COTTRELLVILLE
Practice Address - State:MI
Practice Address - Zip Code:48039-2252
Practice Address - Country:US
Practice Address - Phone:810-765-3585
Practice Address - Fax:810-765-3590
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302411777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist