Provider Demographics
NPI:1477172245
Name:STEVEN, DAVID BRYAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRYAN
Last Name:STEVEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:IA
Mailing Address - Zip Code:50554-1244
Mailing Address - Country:US
Mailing Address - Phone:712-363-2307
Mailing Address - Fax:
Practice Address - Street 1:113 N 3RD ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:IA
Practice Address - Zip Code:50554-1244
Practice Address - Country:US
Practice Address - Phone:712-841-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist