Provider Demographics
NPI:1336245927
Name:KRITTENBRINK, STEVE ROBERT (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:ROBERT
Last Name:KRITTENBRINK
Suffix:
Gender:M
Credentials:PHARMACIST
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Mailing Address - Street 1:PO BOX 405
Mailing Address - Street 2:315 W KANSAS AVENUE
Mailing Address - City:OKARCHE
Mailing Address - State:OK
Mailing Address - Zip Code:73762-0405
Mailing Address - Country:US
Mailing Address - Phone:405-263-4433
Mailing Address - Fax:405-263-4535
Practice Address - Street 1:315 WEST KANSAS AVENUE
Practice Address - Street 2:KRITTENBRINK PHARMACY
Practice Address - City:OKARCHE
Practice Address - State:OK
Practice Address - Zip Code:73762-0405
Practice Address - Country:US
Practice Address - Phone:405-263-4433
Practice Address - Fax:405-263-4535
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK8413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist