Provider Demographics
NPI:1649868035
Name:FORBES, STEPHEN LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:LEE
Last Name:FORBES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3593 BRUGHS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FINCASTLE
Mailing Address - State:VA
Mailing Address - Zip Code:24090-4245
Mailing Address - Country:US
Mailing Address - Phone:540-797-3469
Mailing Address - Fax:
Practice Address - Street 1:3593 BRUGHS MILL RD
Practice Address - Street 2:
Practice Address - City:FINCASTLE
Practice Address - State:VA
Practice Address - Zip Code:24090-4245
Practice Address - Country:US
Practice Address - Phone:540-797-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist