Provider Demographics
NPI:1699554014
Name:NAVARRO, STEFANIE JOY IN (PHARMD)
Entity type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:JOY IN
Last Name:NAVARRO
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 1:11352 HOLTER RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-3402
Mailing Address - Country:US
Mailing Address - Phone:510-364-3069
Mailing Address - Fax:
Practice Address - Street 1:11352 HOLTER RD
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-3402
Practice Address - Country:US
Practice Address - Phone:510-364-3069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1625711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist