Healthcare Provider Details

I. General information

NPI: 1063712669
Provider Name (Legal Business Name): STEVEN IWAY PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2010
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 I ST
SACRAMENTO CA
95814-2400
US

IV. Provider business mailing address

651 I ST
SACRAMENTO CA
95814-2400
US

V. Phone/Fax

Practice location:
  • Phone: 916-874-7367
  • Fax:
Mailing address:
  • Phone: 916-874-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: