NPI 1336742154

Stacey Lee Williston

Practitioner Pharmacist Skiatook, OK

Practice location

Address: 700 W Rogers Blvd, Skiatook, OK 74070-1035
Phone: (918) 396-3194
Fax: (918) 396-3211

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11445 (OK)

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Registry record

NPI: 1336742154
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.