Provider Demographics
NPI:1376578617
Name:PRYOR, STEVEN J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:PRYOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SANTA FE LN
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2221
Mailing Address - Country:US
Mailing Address - Phone:580-478-8014
Mailing Address - Fax:
Practice Address - Street 1:127 E RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-4103
Practice Address - Country:US
Practice Address - Phone:580-233-2152
Practice Address - Fax:580-233-2168
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10899OtherSTATE LICENSE
OK10176OtherSTATE LICENSE