Healthcare Provider Details

I. General information

NPI: 1265434047
Provider Name (Legal Business Name): JOSEPH F. STEINER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IDAHO STATE UNIVERSITY COLLEGE OF PHARMACY CAMPUS BOX 8288
POCATELLO ID
83209-0001
US

IV. Provider business mailing address

1485 CEDAR LAKE RD
POCATELLO ID
83204-4949
US

V. Phone/Fax

Practice location:
  • Phone: 208-282-2175
  • Fax: 208-282-4482
Mailing address:
  • Phone: 208-478-9363
  • Fax: 208-282-4482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberP5708
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: