Provider Demographics
NPI:1114228053
Name:BERNATZ, STEVEN MEADOWS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MEADOWS
Last Name:BERNATZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 PRAIRIE CITY RD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630
Mailing Address - Country:US
Mailing Address - Phone:916-608-2455
Mailing Address - Fax:916-608-2460
Practice Address - Street 1:1850 PRAIRIE CITY RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9518
Practice Address - Country:US
Practice Address - Phone:916-608-2455
Practice Address - Fax:916-608-2460
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist