Provider Demographics
NPI:1891279543
Name:STEFFEN, CLARE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:ELIZABETH
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:ELIZABETH
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 ALLAN AVE APT 129
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-7201
Mailing Address - Country:US
Mailing Address - Phone:712-830-3775
Mailing Address - Fax:
Practice Address - Street 1:223 STATE ST N
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2930
Practice Address - Country:US
Practice Address - Phone:507-835-1610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist