Provider Demographics
NPI:1699953901
Name:STEADMAN, WENDY LEE (RPH)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LEE
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 BROADWAY
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714
Mailing Address - Country:US
Mailing Address - Phone:516-827-5814
Mailing Address - Fax:516-827-4023
Practice Address - Street 1:308 BROADWAY
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714
Practice Address - Country:US
Practice Address - Phone:516-827-5814
Practice Address - Fax:516-827-4023
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist