Stephens, Clyde

Stephens, Clyde is an sole proprietor health care provider with primary practice located at 1155 Ford Rd , St Louis Park MN 55426-1099. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stephens, Clyde can be contacted via phone (612) 284-2197.

Contact Information

Primary practice address
1155 Ford Rd St Louis Park MN 55426-1099
Phone: (612) 284-2197
Fax: (612) 808-6759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 114249 Minnesota

Profile Details

NPI number 1154694982
LBN Legal business name Stephens, Clyde
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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