Provider Demographics
NPI:1093090037
Name:MARKIS, STEVEN JAMES (RPH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAMES
Last Name:MARKIS
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 1:23415 CANDLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1414
Mailing Address - Country:US
Mailing Address - Phone:818-703-7431
Mailing Address - Fax:
Practice Address - Street 1:7560 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1213
Practice Address - Country:US
Practice Address - Phone:818-340-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist