Individual
DR. STEPHEN KENT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
800 FIR ST, PERRY, OK 73077-4239
(580) 336-4474
(580) 336-0108
Mailing address
800 FIR ST, PERRY, OK 73077-4239
(580) 336-4474
(580) 336-0108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12384
LICENSE NUMBER
OK
Enumeration date
08/17/2006
Last updated
07/08/2007
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