Provider Demographics
NPI:1013126952
Name:MARTIN, STEVEN J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:MARTIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 DEER BROOK CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9240
Mailing Address - Country:US
Mailing Address - Phone:419-824-3406
Mailing Address - Fax:
Practice Address - Street 1:525 S MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OH
Practice Address - Zip Code:45810-1599
Practice Address - Country:US
Practice Address - Phone:419-772-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-226841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy