Provider Demographics
NPI:1891108858
Name:BATIE, STEPHEN FOREST (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FOREST
Last Name:BATIE
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 1:4890 N LITCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5015
Mailing Address - Country:US
Mailing Address - Phone:623-547-4799
Mailing Address - Fax:928-684-0857
Practice Address - Street 1:4890 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-5015
Practice Address - Country:US
Practice Address - Phone:623-547-4799
Practice Address - Fax:928-684-0857
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist