MEDICARE: TERRI JO 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	11127	NV

General Provider Information

NPI Number	:	1003418674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI JO STEELE RPH

Provider Business Mailing Address
First Line	:	450 N NELLIS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5304
Country	:	US
Telephone Number	:	702-452-0224
Fax Number	:	702-453-4969

Provider Business Practice Location Address
First Line	:	450 N NELLIS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5304
Country	:	US
Telephone Number	:	702-452-0224
Fax Number	:	702-453-4969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	11/09/2020

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Directions to “ TERRI JO STEELE RPH” Practice Location

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