Provider Demographics
NPI:1669568424
Name:DUKE, JOHN STEVEN (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:STEVEN
Last Name:DUKE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CRESSON
Mailing Address - State:PA
Mailing Address - Zip Code:16630-1164
Mailing Address - Country:US
Mailing Address - Phone:814-886-5667
Mailing Address - Fax:814-886-2203
Practice Address - Street 1:1207 2ND ST
Practice Address - Street 2:
Practice Address - City:CRESSON
Practice Address - State:PA
Practice Address - Zip Code:16630-1164
Practice Address - Country:US
Practice Address - Phone:814-886-5667
Practice Address - Fax:814-886-2203
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038963L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist