Provider Demographics
NPI:1437161460
Name:DRINNON, STEPHEN D (PHARM D)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:DRINNON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-3001
Mailing Address - Country:US
Mailing Address - Phone:580-774-6426
Mailing Address - Fax:580-774-7020
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-3001
Practice Address - Country:US
Practice Address - Phone:580-774-6426
Practice Address - Fax:580-774-7020
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist