Healthcare Provider Details

I. General information

NPI: 1609349752
Provider Name (Legal Business Name): SARAH STIEVEN PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 2ND ST SW
ROCHESTER MN
55902-3026
US

IV. Provider business mailing address

453 BOULDER RD SE
ROCHESTER MN
55904-7001
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-2021
  • Fax:
Mailing address:
  • Phone: 314-941-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2010027774
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: