Provider Demographics
NPI:1013508977
Name:MARUSCHAK, STEVE B JR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:B
Last Name:MARUSCHAK
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 ARIZONA DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4410
Mailing Address - Country:US
Mailing Address - Phone:850-860-9365
Mailing Address - Fax:
Practice Address - Street 1:9052 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5613
Practice Address - Country:US
Practice Address - Phone:800-873-7874
Practice Address - Fax:800-627-4838
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25273183500000X
AL15343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist