Provider Demographics
NPI:1336558741
Name:SHIEH, STEPHEN P (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:SHIEH
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 1:41 ROBERT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1352
Mailing Address - Country:US
Mailing Address - Phone:502-230-0006
Mailing Address - Fax:508-230-0045
Practice Address - Street 1:41 ROBERT DR
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1352
Practice Address - Country:US
Practice Address - Phone:502-230-0006
Practice Address - Fax:508-230-0045
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist