Healthcare Provider Details

I. General information

NPI: 1649704792
Provider Name (Legal Business Name): STEED ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2017
Last Update Date: 04/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN ST
CANISTEO NY
14823-1125
US

IV. Provider business mailing address

2630 HONEYSUCKLE LN
ELMIRA NY
14903-9352
US

V. Phone/Fax

Practice location:
  • Phone: 607-698-4641
  • Fax: 607-698-2527
Mailing address:
  • Phone: 607-731-4432
  • Fax: 607-698-2527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number035401
License Number StateNY

VIII. Authorized Official

Name: MR. FRANK STEED
Title or Position: OWNER
Credential:
Phone: 607-698-4641