Provider Demographics
NPI:1528721834
Name:BOARD OF REGENTS OF THE UNIV OF OKLA-STEPHENSON SPECIALTY PHARMACY
Entity type:Organization
Organization Name:BOARD OF REGENTS OF THE UNIV OF OKLA-STEPHENSON SPECIALTY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZUBIALDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-1515
Mailing Address - Street 1:800 NE 10TH ST STE 3001
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5418
Mailing Address - Country:US
Mailing Address - Phone:405-271-1515
Mailing Address - Fax:405-271-1001
Practice Address - Street 1:800 NE 10TH ST STE 3001
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-1515
Practice Address - Fax:405-271-1001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OU HEALTH PARTNERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy