Provider Demographics
NPI:1942542550
Name:GOLDRING, STEPHEN NED (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:NED
Last Name:GOLDRING
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 1:4335 S HERMOSA WAY
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3727
Mailing Address - Country:US
Mailing Address - Phone:801-870-1424
Mailing Address - Fax:
Practice Address - Street 1:4335 S HERMOSA WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-3727
Practice Address - Country:US
Practice Address - Phone:801-870-1424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12590183500000X
UT151499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
329764OtherNABP