Provider Demographics
NPI:1134531734
Name:SALKIE, STEVE (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:SALKIE
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 1:817 WHITE TAIL CT
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46936-9628
Mailing Address - Country:US
Mailing Address - Phone:765-860-0263
Mailing Address - Fax:765-454-7865
Practice Address - Street 1:2301 E MARKLAND AVE
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-6245
Practice Address - Country:US
Practice Address - Phone:765-454-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-30
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019338A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN26019338AOtherLICENSE NUMBER