Search › Minnesota › Pharmacist
Clyde Stephens, RPH
NPI 1154694982 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1155 Ford Rd
St Louis Park, MN 55426 - Phone
- (612) 284-2197
- Fax
- (612) 808-6759
- Organisation at this address
- Genoa Healthcare Llc
Medicine Lake Consultation Group,PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota