Provider Demographics
NPI:1265035372
Name:WARSHOWSKY, STEPHEN H (RPH)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:WARSHOWSKY
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 1:1800 N WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8104
Mailing Address - Country:US
Mailing Address - Phone:321-259-2333
Mailing Address - Fax:321-757-0790
Practice Address - Street 1:1800 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8104
Practice Address - Country:US
Practice Address - Phone:321-259-2333
Practice Address - Fax:321-757-0790
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0025092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist