Individual
DR. STEPHEN MICHAEL BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
Mailing address
168 HYDE PARK, JACKSON, MO 63755-8506
(573) 334-1300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011020691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011020691
PHARMACIST LICENSE NUMBER
MO
Enumeration date
10/25/2016
Last updated
10/25/2016
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