1265434047 NPI number — DR. JOSEPH F. STEINER PHARM.D.

Table of content: DR. JOSEPH F. STEINER PHARM.D. (NPI 1265434047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265434047 NPI number — DR. JOSEPH F. STEINER PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINER
Provider First Name:
JOSEPH
Provider Middle Name:
F.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265434047
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1485 CEDAR LAKE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POCATELLO
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83204-4949
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-478-9363
Provider Business Mailing Address Fax Number:
208-282-4482

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
IDAHO STATE UNIVERSITY COLLEGE OF PHARMACY
Provider Second Line Business Practice Location Address:
CAMPUS BOX 8288
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83209-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-282-2175
Provider Business Practice Location Address Fax Number:
208-282-4482
Provider Enumeration Date:
08/11/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P1200X , with the licence number:  P5708 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)