Provider Demographics
NPI:1487402103
Name:HULETT, STEVEN A (PHARM D)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:HULETT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-6182
Mailing Address - Country:US
Mailing Address - Phone:606-585-8411
Mailing Address - Fax:
Practice Address - Street 1:2548 GREENUP AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7852
Practice Address - Country:US
Practice Address - Phone:606-408-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034390361835P0018X
KY0206401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist