Provider Demographics
NPI:1437289204
Name:BARR, STEVEN M (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:BARR
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 1:3358 PLAZA DE LANZA
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-8209
Mailing Address - Country:US
Mailing Address - Phone:561-701-6409
Mailing Address - Fax:
Practice Address - Street 1:CVS STORE 8828
Practice Address - Street 2:EAST FRY BLVD.
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650
Practice Address - Country:US
Practice Address - Phone:520-458-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22818OtherPHARMACIST LICENSE