Provider Demographics
NPI:1093180424
Name:SCHOLZEN, STEVEN (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:SCHOLZEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 SHOPKO DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4119
Mailing Address - Country:US
Mailing Address - Phone:608-243-7788
Mailing Address - Fax:608-243-7800
Practice Address - Street 1:2502 SHOPKO DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4119
Practice Address - Country:US
Practice Address - Phone:608-243-7788
Practice Address - Fax:608-243-7800
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17582-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist