Provider Demographics
NPI:1891999827
Name:WARD, STEPHEN PATRICK (RPH)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:PATRICK
Last Name:WARD
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 1:6010 CHRISTIAN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREAT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14741-9747
Mailing Address - Country:US
Mailing Address - Phone:716-945-1605
Mailing Address - Fax:716-699-5508
Practice Address - Street 1:6133 ROUTE 219
Practice Address - Street 2:SUITE 1004
Practice Address - City:ELLICOTTVIILLE
Practice Address - State:NY
Practice Address - Zip Code:14731
Practice Address - Country:US
Practice Address - Phone:716-699-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist