Individual
MR. STEPHEN WADE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
19655 NE 23RD ST, HARRAH, OK 73045-9305
(405) 454-6261
(405) 454-6262
Mailing address
PO BOX 12386, OKLAHOMA CITY, OK 73157-2386
(405) 454-6261
(405) 454-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10554
OK
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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