Provider Demographics
NPI:1366676900
Name:SIVAK, STEVE FRANCIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:FRANCIS
Last Name:SIVAK
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 1:2130 BROWN HILL RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16371-3324
Mailing Address - Country:US
Mailing Address - Phone:814-563-3545
Mailing Address - Fax:
Practice Address - Street 1:1079 MARKET ST
Practice Address - Street 2:
Practice Address - City:NORTH WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1269
Practice Address - Country:US
Practice Address - Phone:814-723-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP441244OtherSTATE LICENSE