Provider Demographics
NPI:1982208104
Name:STEFFEN, MARCIA KAY (RPH)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:KAY
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-4606
Mailing Address - Country:US
Mailing Address - Phone:570-752-7462
Mailing Address - Fax:570-759-3518
Practice Address - Street 1:700 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-4606
Practice Address - Country:US
Practice Address - Phone:570-752-7462
Practice Address - Fax:570-759-3518
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042060R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist