Organization
FISHERS CENTRAL DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN C. BAYER PHARM D (PIC)
(405) 372-6120
Entity
Organization
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
(405) 372-2833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8-4039
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237050A
—
OK
Enumeration date
09/27/2006
Last updated
03/07/2023
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