Provider Demographics
NPI:1023460979
Name:DORAN, STEVEN RYAN (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:RYAN
Last Name:DORAN
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 1:2951 SPRINGSWEET LN
Mailing Address - Street 2:APT 22
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7176
Mailing Address - Country:US
Mailing Address - Phone:919-475-0955
Mailing Address - Fax:
Practice Address - Street 1:1500 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2884
Practice Address - Country:US
Practice Address - Phone:919-918-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-04
Last Update Date:2016-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist