Provider Demographics
NPI:1588876205
Name:KLEIN, STEPHANY K (RPH, PD)
Entity type:Individual
Prefix:MRS
First Name:STEPHANY
Middle Name:K
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RPH, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 EAST BERKELEY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5808
Mailing Address - Country:US
Mailing Address - Phone:972-234-4595
Mailing Address - Fax:972-699-1180
Practice Address - Street 1:1207 EAST BERKELEY
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5808
Practice Address - Country:US
Practice Address - Phone:972-234-4595
Practice Address - Fax:972-699-1180
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20568183500000X
LA10122183500000X
FLPS34600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist