Healthcare Provider Details

I. General information

NPI: 1346174935
Provider Name (Legal Business Name): STEVEN BERDOVICH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 99TH ST
URBANDALE IA
50322-3858
US

IV. Provider business mailing address

2853 99TH ST
URBANDALE IA
50322-3858
US

V. Phone/Fax

Practice location:
  • Phone: 515-331-8947
  • Fax: 515-331-8986
Mailing address:
  • Phone: 515-331-8947
  • Fax: 515-331-8986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number20130
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: