Provider Demographics
NPI:1518295732
Name:SAKYI, STEPHANIE AGYEPOMAA
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:AGYEPOMAA
Last Name:SAKYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 WOODWAY DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3366
Mailing Address - Country:US
Mailing Address - Phone:254-399-6892
Mailing Address - Fax:
Practice Address - Street 1:9101 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-3366
Practice Address - Country:US
Practice Address - Phone:254-399-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist