Provider Demographics
NPI:1801166392
Name:KOLEGA, STEVEN
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KOLEGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 BEE RIDGE RD
Mailing Address - Street 2:WALGREENS PHARMACY
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5067
Mailing Address - Country:US
Mailing Address - Phone:941-377-1589
Mailing Address - Fax:
Practice Address - Street 1:5800 BEE RIDGE RD
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5067
Practice Address - Country:US
Practice Address - Phone:941-377-1589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30962183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist