Individual
MR. STEPHEN RYAN EMMERTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6300
Mailing address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448731
PA
390200000X
Student in an Organized Health Care Education/Training Program
PI113752
PA
Other
Enumeration date
08/31/2011
Last updated
01/30/2026
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