Provider Demographics
NPI:1659570398
Name:DANLEY, STEFFANIE MARIE (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:STEFFANIE
Middle Name:MARIE
Last Name:DANLEY
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:STEFFANIE
Other - Middle Name:MARIE
Other - Last Name:GRAMLICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 17TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-6004
Mailing Address - Country:US
Mailing Address - Phone:605-261-0953
Mailing Address - Fax:
Practice Address - Street 1:917 29TH ST SE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-9123
Practice Address - Country:US
Practice Address - Phone:605-884-2428
Practice Address - Fax:605-884-2425
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist