Provider Demographics
NPI:1952630196
Name:LERCH, STEVEN MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:LERCH
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 1:11743 E WHISPERING WIND DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5902
Mailing Address - Country:US
Mailing Address - Phone:480-473-2355
Mailing Address - Fax:
Practice Address - Street 1:11743 E WHISPERING WIND DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5902
Practice Address - Country:US
Practice Address - Phone:480-473-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12242183500000X
AZ9549183500000X
TN32473183500000X
KY14224183500000X
VA0202208743183500000X
LA18718183500000X
ARPD11042183500000X
ORRPH-0011870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist