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NPI Code Detail

MEDICARE: PROF. EFTHEMIA STEELE RPH

MEDICARE: PROF. EFTHEMIA STEELE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist5302023568MI

General Provider Information

NPI Number : 1710066725
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. EFTHEMIA STEELE RPH
Provider Business Mailing Address
First Line : 2811 HEATHFIELD RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-3416
Country : US
Telephone Number : 248-647-0880
Fax Number : 248-647-0204
Provider Business Practice Location Address
First Line : 3669 W MAPLE RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-3376
Country : US
Telephone Number : 248-647-4900
Fax Number : 248-647-9727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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