Provider Demographics
NPI:1992069256
Name:STEBBINS, TIMOTHY ROBERT JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ROBERT
Last Name:STEBBINS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 TOWNLEY RD
Mailing Address - Street 2:APT. 4F
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4454
Mailing Address - Country:US
Mailing Address - Phone:910-331-0700
Mailing Address - Fax:
Practice Address - Street 1:1530 E BROAD ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-4302
Practice Address - Country:US
Practice Address - Phone:704-878-8675
Practice Address - Fax:704-873-2133
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist