Provider Demographics
NPI:1891007365
Name:STEVEN, JOHN FARRELL (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FARRELL
Last Name:STEVEN
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 1:3973 MURRY HIGHLANDS CIR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1747
Mailing Address - Country:US
Mailing Address - Phone:724-733-1431
Mailing Address - Fax:
Practice Address - Street 1:4830 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-9262
Practice Address - Country:US
Practice Address - Phone:724-327-8233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028660L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP028660LOtherPENNSYLVANIA PHARMACY STAE LICENSE NUMBER