Provider Demographics
NPI:1467547653
Name:STESSMAN, ROBERT ALLEN (RPH BS PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALLEN
Last Name:STESSMAN
Suffix:
Gender:M
Credentials:RPH BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:IA
Mailing Address - Zip Code:51455-1527
Mailing Address - Country:US
Mailing Address - Phone:712-210-0679
Mailing Address - Fax:
Practice Address - Street 1:317 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:IA
Practice Address - Zip Code:51455
Practice Address - Country:US
Practice Address - Phone:712-655-9490
Practice Address - Fax:712-655-2295
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA162661835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care