Provider Demographics
NPI:1639381486
Name:SAYLER, STEVEN WADE (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:WADE
Last Name:SAYLER
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 1:910 N JEFFERSON WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-1450
Mailing Address - Country:US
Mailing Address - Phone:515-961-2025
Mailing Address - Fax:515-961-2090
Practice Address - Street 1:910 N JEFFERSON WAY
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-1450
Practice Address - Country:US
Practice Address - Phone:515-961-2025
Practice Address - Fax:515-961-2090
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist