Provider Demographics
NPI:1164904538
Name:STEUBER, DEVIN A (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:A
Last Name:STEUBER
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 1:15 HOUGHTON ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:ME
Mailing Address - Zip Code:04950-1312
Mailing Address - Country:US
Mailing Address - Phone:207-431-9561
Mailing Address - Fax:
Practice Address - Street 1:465 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4328
Practice Address - Country:US
Practice Address - Phone:207-854-9103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR686751835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPR68675OtherMAINE BOARD OF PHARMACY