Healthcare Provider Details

I. General information

NPI: 1982017547
Provider Name (Legal Business Name): CHRISTOPHER STEFURA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7642 BIG BEAVER BLVD
WAMPUM PA
16157-2718
US

IV. Provider business mailing address

7642 BIG BEAVER BLVD
WAMPUM PA
16157-2718
US

V. Phone/Fax

Practice location:
  • Phone: 724-561-9095
  • Fax:
Mailing address:
  • Phone: 724-561-9096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444411
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: