Provider Demographics
NPI:1770616062
Name:EYER, STEVEN R (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:EYER
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 1:3969 CARO RD
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-9707
Mailing Address - Country:US
Mailing Address - Phone:989-872-4403
Mailing Address - Fax:989-872-5149
Practice Address - Street 1:6480 MAIN ST
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1143
Practice Address - Country:US
Practice Address - Phone:989-872-3613
Practice Address - Fax:989-872-5149
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist