Provider Demographics
NPI:1881984946
Name:CLASS, STEVEN G (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:CLASS
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 1:3237 CHESTNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536
Mailing Address - Country:US
Mailing Address - Phone:301-895-5315
Mailing Address - Fax:301-895-4069
Practice Address - Street 1:3237 CHESTNUT RIDGE RD
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-1370
Practice Address - Country:US
Practice Address - Phone:301-895-5315
Practice Address - Fax:301-895-4069
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12660183500000X
MAPH21451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist