Provider Demographics
NPI:1174830137
Name:HARDMAN, STEVEN R (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:HARDMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 E BROWN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4082
Mailing Address - Country:US
Mailing Address - Phone:480-832-9008
Mailing Address - Fax:480-832-9167
Practice Address - Street 1:4320 E BROWN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4082
Practice Address - Country:US
Practice Address - Phone:480-832-9008
Practice Address - Fax:480-832-9167
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS009680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist