Provider Demographics
NPI:1477848208
Name:DEAN, STEPHANIE E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:E
Last Name:DEAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12010 W 63RD ST
Mailing Address - Street 2:PRICE CHOPPER #39
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-1867
Mailing Address - Country:US
Mailing Address - Phone:913-268-8150
Mailing Address - Fax:913-268-8479
Practice Address - Street 1:12010 W 63RD ST
Practice Address - Street 2:PRICE CHOPPER #39
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-1867
Practice Address - Country:US
Practice Address - Phone:913-268-8150
Practice Address - Fax:913-268-8479
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1-14213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist