Provider Demographics
NPI:1275838609
Name:CARR, STEVEN DOUGLAS JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:CARR
Suffix:JR
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 1:45 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDDINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04428-3267
Mailing Address - Country:US
Mailing Address - Phone:207-356-5320
Mailing Address - Fax:
Practice Address - Street 1:66 FREEDOM PKWY
Practice Address - Street 2:
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-1105
Practice Address - Country:US
Practice Address - Phone:207-848-3454
Practice Address - Fax:207-848-3631
Is Sole Proprietor?:No
Enumeration Date:2011-01-15
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR128881835N0905X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear