Provider Demographics
NPI:1043237720
Name:FIRMAN, STEVEN DOUGLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:FIRMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:WV
Mailing Address - Zip Code:26047-2566
Mailing Address - Country:US
Mailing Address - Phone:304-564-4439
Mailing Address - Fax:
Practice Address - Street 1:722 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:MINGO JCT
Practice Address - State:OH
Practice Address - Zip Code:43938-1066
Practice Address - Country:US
Practice Address - Phone:740-535-1182
Practice Address - Fax:740-535-1648
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-24711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist