Provider Demographics
NPI:1437229176
Name:STEFFEY, JEFFREY K (RPH)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:K
Last Name:STEFFEY
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 1:2464 ARROWHEAD RD SE
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-6855
Mailing Address - Country:US
Mailing Address - Phone:989-390-2455
Mailing Address - Fax:231-547-0670
Practice Address - Street 1:301 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1414
Practice Address - Country:US
Practice Address - Phone:231-547-2424
Practice Address - Fax:231-547-0670
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302409728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist