Provider Demographics
NPI:1427773951
Name:PASCUZZI, STEVE LEE (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:LEE
Last Name:PASCUZZI
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 1:171B SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:WA
Mailing Address - Zip Code:98812-9523
Mailing Address - Country:US
Mailing Address - Phone:541-980-1038
Mailing Address - Fax:
Practice Address - Street 1:525 JAY AVE
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:WA
Practice Address - Zip Code:98812-3403
Practice Address - Country:US
Practice Address - Phone:800-660-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0010707183500000X
WA60051766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist