Provider Demographics
NPI:1831305499
Name:SAWYERS-RAMBO, STEFFANY LEA (RPH)
Entity Type:Individual
Prefix:DR
First Name:STEFFANY
Middle Name:LEA
Last Name:SAWYERS-RAMBO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-3641
Mailing Address - Country:US
Mailing Address - Phone:580-924-3784
Mailing Address - Fax:580-920-0048
Practice Address - Street 1:311 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-3641
Practice Address - Country:US
Practice Address - Phone:580-924-3784
Practice Address - Fax:580-920-0048
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist