Provider Demographics
NPI:1023529740
Name:AUSTIN, STEPHEN C (PHARMD, BCPS BC-ADM)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:C
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:PHARMD, BCPS BC-ADM
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, BCPS, BC-ADM
Mailing Address - Street 1:1330 ROCKEFELLER AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1676
Mailing Address - Country:US
Mailing Address - Phone:425-297-5220
Mailing Address - Fax:425-297-5221
Practice Address - Street 1:1330 ROCKEFELLER AVE STE 150
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1676
Practice Address - Country:US
Practice Address - Phone:425-247-3968
Practice Address - Fax:425-297-5221
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60391698183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist