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Individual

STEPHEN CHAD BAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
722 S MAIN ST, STILLWATER, OK 74074-4668
(405) 372-6120
(405) 372-2833
Mailing address
722 S MAIN ST, STILLWATER, OK 74074-4668
(405) 372-6120

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14212
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14212
STATE BOARD OF PHARMACY LICENSE
OK
Enumeration date
12/17/2018
Last updated
12/17/2018
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