Provider Demographics
NPI:1841899010
Name:STEPLIN, HENRY JOHN JR (RPH)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JOHN
Last Name:STEPLIN
Suffix:JR
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 1:606 CANNON ST APT 3
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1938
Mailing Address - Country:US
Mailing Address - Phone:386-233-8476
Mailing Address - Fax:
Practice Address - Street 1:6257 N US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT ST JOHN
Practice Address - State:FL
Practice Address - Zip Code:32927-4925
Practice Address - Country:US
Practice Address - Phone:321-633-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist