Healthcare Provider Details

I. General information

NPI: 1649180852
Provider Name (Legal Business Name): TAMARA STEINKE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 N FERDON BLVD
CRESTVIEW FL
32536-1713
US

IV. Provider business mailing address

1355 N FERDON BLVD
CRESTVIEW FL
32536-1713
US

V. Phone/Fax

Practice location:
  • Phone: 850-603-6187
  • Fax:
Mailing address:
  • Phone: 850-603-6187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPS70598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: