Provider Demographics
NPI:1497110399
Name:BLISS, STEVEN JOSEPH (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:BLISS
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 1:8616 2ND AVE
Mailing Address - Street 2:APARTMENT 407
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3786
Mailing Address - Country:US
Mailing Address - Phone:315-559-6125
Mailing Address - Fax:
Practice Address - Street 1:8616 2ND AVE
Practice Address - Street 2:APARTMENT 407
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3786
Practice Address - Country:US
Practice Address - Phone:315-559-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist