Provider Demographics
NPI:1649283649
Name:CHRETIEN, STEVEN DONALD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DONALD
Last Name:CHRETIEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5901 E 7TH ST
Mailing Address - Street 2:(03/119)
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822-5201
Mailing Address - Country:US
Mailing Address - Phone:562-826-5439
Mailing Address - Fax:562-826-5797
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:(03/119)
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-5439
Practice Address - Fax:562-826-5797
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282841835P0018X
NV060961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist