Provider Demographics
NPI:1124303573
Name:BAHR, STEVEN JOHN (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOHN
Last Name:BAHR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7442
Mailing Address - Country:US
Mailing Address - Phone:435-674-5792
Mailing Address - Fax:435-674-9354
Practice Address - Street 1:2610 PIONEER RD
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7442
Practice Address - Country:US
Practice Address - Phone:435-674-5792
Practice Address - Fax:435-674-9354
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8005979-1701183500000X
NV18096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist