Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clyde Stephens III, RPH

Individual provider Pharmacist · NPI 1154694982

Mr. Clyde Stephens III, RPH is a Pharmacist in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1155 Ford Rd
St Louis Park, MN 55426-1099
Phone: (612) 284-2197
Fax: (612) 808-6759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 114249 (MN)

Record details

NPI number1154694982
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012

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