Provider Demographics
NPI:1154522662
Name:STEYN, PIETER ARNOLDUS (RPH)
Entity type:Individual
Prefix:MR
First Name:PIETER
Middle Name:ARNOLDUS
Last Name:STEYN
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 1:118 CACHE POINT LN
Mailing Address - Street 2:APARTMENT 21201
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8108
Mailing Address - Country:US
Mailing Address - Phone:801-495-1932
Mailing Address - Fax:
Practice Address - Street 1:1784 W 12600 S
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7025
Practice Address - Country:US
Practice Address - Phone:801-254-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5270899-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist