Provider Demographics
NPI:1649385568
Name:STEPP-SAVER, INC.
Entity Type:Organization
Organization Name:STEPP-SAVER, INC.
Other - Org Name:STEPP-SAVER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-983-4011
Mailing Address - Street 1:203 N NEWBERGER AVE
Mailing Address - Street 2:P.O. BOX 656
Mailing Address - City:BRUCE
Mailing Address - State:MS
Mailing Address - Zip Code:38915-9430
Mailing Address - Country:US
Mailing Address - Phone:662-983-4011
Mailing Address - Fax:662-983-4072
Practice Address - Street 1:203 N NEWBERGER AVE
Practice Address - Street 2:
Practice Address - City:BRUCE
Practice Address - State:MS
Practice Address - Zip Code:38915-9430
Practice Address - Country:US
Practice Address - Phone:662-983-4011
Practice Address - Fax:662-983-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01773/01.13336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00045159Medicaid
MS00030253Medicaid
MS2513732OtherNCPDP
MSAS2727886OtherDEA NUMBER