Stephens Health Care Specialists PLLC
Organization Active NPI Community/Retail Pharmacy · Cheyenne, OK
NPI 1720011596 · NPPES record last updated Nov 5, 2009
Key facts
- NPI
- 1720011596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 765469 (OK)
- Legal business name
- STEPHENS HEALTH CARE SPECIALISTS PLLC
- Practice address
- 413 Broadway
Cheyenne, OK 73628 - Phone
- (580) 497-3325
- Fax
- (580) 497-3326
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Jaclyn Stephens
- Title
- Owner
- Phone
- (580) 497-3325
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cheyenne Professional Drug
Locations
413 E Broadway Ave
Cheyenne, OK 73628
Phone (580) 497-3325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 765469 | OK | Yes |
Addresses
Primary practice location
413 Broadway
Cheyenne, OK 73628
Mailing address
PO Box 860
Cheyenne, OK 73628-0860
Phone (580) 497-3325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3704182 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- CHEYENNE PROFESSIONAL DRUG
Other providers in Cheyenne, OK
- Roger Mills County Hospital Authority
- Roger Mills County Hospital Authority
- Roger Mills County Hospital Authority
- Debra Sappenfield
- Stephens Health Care Specialists PLLC
All providers in Cheyenne, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.