Provider Demographics
NPI:1851387237
Name:WILLNUS, STEVE HARRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:HARRY
Last Name:WILLNUS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HOMESTEAD CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03052-8049
Mailing Address - Country:US
Mailing Address - Phone:603-625-6406
Mailing Address - Fax:810-222-4668
Practice Address - Street 1:23 S PERIMETER RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-2041
Practice Address - Country:US
Practice Address - Phone:603-424-0455
Practice Address - Fax:603-226-2715
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist