MEDICARE: DR. STEPHEN R SAKLAD PHARM.D., BCPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist	24679	TX
2	1835P1200X	Pharmacotherapy Pharmacist	24679	TX
3	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	24679	TX

General Provider Information

NPI Number	:	1396742417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN R SAKLAD PHARM.D., BCPP

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:	MSC 6220
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-567-8355
Fax Number	:	210-567-8428

Provider Business Practice Location Address
First Line	:	7703 FLOYD CURL DR
Second Line	:	MSC 6220
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-567-8355
Fax Number	:	210-567-8428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	01/23/2010

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Directions to “ DR. STEPHEN R SAKLAD PHARM.D., BCPP” Practice Location

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