Provider Demographics
NPI:1356783187
Name:MALEN, STEVEN ZACHARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ZACHARY
Last Name:MALEN
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 1:32-07 NICHOLSON DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4126
Mailing Address - Country:US
Mailing Address - Phone:201-921-9715
Mailing Address - Fax:
Practice Address - Street 1:32-07 NICHOLSON DR
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4126
Practice Address - Country:US
Practice Address - Phone:201-921-9715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03564700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist