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NPI Code Detail

MEDICARE: STEVEN A MCLEAN RPH

MEDICARE: STEVEN A MCLEAN 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
1183500000XPharmacist7262NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17262OTHERNCNC BOARD OF PHARMACY

General Provider Information

NPI Number : 1265659189
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN A MCLEAN RPH
Provider Business Mailing Address
First Line : 60 COMMERCE PLAZA CIR
Second Line :
City : PEMBROKE
State : NC
Zip : 28372-7386
Country : US
Telephone Number : 910-521-2900
Fax Number : 910-775-9165
Provider Business Practice Location Address
First Line : 1212 S WALNUT ST
Second Line :
City : FAIRMONT
State : NC
Zip : 28340-1848
Country : US
Telephone Number : 910-535-4003
Fax Number : 910-535-4186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 12/20/2018

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