Provider Demographics
NPI:1184819666
Name:NITSCHE, STEVEN L (RPH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:NITSCHE
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 1:2150 TRABAJO DR STE A
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8800
Mailing Address - Country:US
Mailing Address - Phone:805-981-0097
Mailing Address - Fax:
Practice Address - Street 1:2150 TRABAJO DR STE A
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8800
Practice Address - Country:US
Practice Address - Phone:805-981-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist