Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Stephen David Nathenson, PHARMACIST

Individual provider Pharmacist · NPI 1700111549

Mr. Stephen David Nathenson, PHARMACIST is a Pharmacist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
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Practice location Address checks out

3198 Willow Creek Rd
Prescott, AZ 86305 Not confirmed with CMS for 16 years — call before visiting
Phone: (928) 778-3181
Fax: (928) 778-3491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 4984 (AZ)

Record details

NPI number1700111549
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedOctober 13, 2009
Last updated in NPPESOctober 13, 2009

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