Healthcare Provider Details

I. General information

NPI: 1487578746
Provider Name (Legal Business Name): STEVEN JOHN DUFALA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 DUNWOODY PL STE 750
SANDY SPRINGS GA
30350-2514
US

IV. Provider business mailing address

PO BOX 70831
MARIETTA GA
30007-0831
US

V. Phone/Fax

Practice location:
  • Phone: 404-815-1610
  • Fax: 404-815-1609
Mailing address:
  • Phone: 440-212-8085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035528
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number03236739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: