Provider Demographics
NPI:1497464390
Name:SANTAROMANA, STEPHANIE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:SANTAROMANA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 W SAM HOUSTON PKWY N STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4016
Mailing Address - Country:US
Mailing Address - Phone:832-612-3500
Mailing Address - Fax:866-612-3437
Practice Address - Street 1:2008 BAYCLIFF CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8180
Practice Address - Country:US
Practice Address - Phone:832-689-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist