Provider Demographics
NPI:1952623050
Name:VINETT, STEPHEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:VINETT
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 1:23 SAMSONDALE PLZ
Mailing Address - Street 2:RT 9W
Mailing Address - City:W HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1017
Mailing Address - Country:US
Mailing Address - Phone:845-429-1303
Mailing Address - Fax:845-429-9026
Practice Address - Street 1:23 SAMSONDALE PLZ
Practice Address - Street 2:RT 9W
Practice Address - City:W HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1017
Practice Address - Country:US
Practice Address - Phone:845-429-1303
Practice Address - Fax:845-429-9026
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist