Provider Demographics
NPI:1568718880
Name:YOUNG, STEFANIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:STEFANIE
Other - Middle Name:
Other - Last Name:HOLTGREFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7398 WOOSTER PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3834
Mailing Address - Country:US
Mailing Address - Phone:513-271-3131
Mailing Address - Fax:
Practice Address - Street 1:7398 WOOSTER PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3834
Practice Address - Country:US
Practice Address - Phone:513-271-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist