Provider Demographics
NPI:1588970461
Name:LEVITSKY, STEVEN HOWARD (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:HOWARD
Last Name:LEVITSKY
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 1:2791 S DELSEA DR
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-7079
Mailing Address - Country:US
Mailing Address - Phone:856-405-0962
Mailing Address - Fax:856-405-0967
Practice Address - Street 1:2791 S DELSEA DR
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7079
Practice Address - Country:US
Practice Address - Phone:856-405-0962
Practice Address - Fax:856-405-0967
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ01357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist