Provider Demographics
NPI:1821239500
Name:STEFFEN, STACY L (PHARMD)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:L
Last Name:STEFFEN
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 1:5010 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1951
Mailing Address - Country:US
Mailing Address - Phone:402-465-0413
Mailing Address - Fax:402-465-0417
Practice Address - Street 1:5010 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1951
Practice Address - Country:US
Practice Address - Phone:402-465-0413
Practice Address - Fax:402-465-0417
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist