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NPI Code Detail

MEDICARE: MR. CARROLL RAY STEINER RPH

MEDICARE: MR. CARROLL RAY STEINER 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
1183500000XPharmacistPH00007146WA

General Provider Information

NPI Number : 1578548913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARROLL RAY STEINER RPH
Provider Business Mailing Address
First Line : 6813 86TH ST E
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-6449
Country : US
Telephone Number : 253-848-1239
Fax Number : 253-848-4501
Provider Business Practice Location Address
First Line : 6720 E GREEN LAKE WAY N
Second Line : THE HEARTHSTONE
City : SEATTLE
State : WA
Zip : 98103-5439
Country : US
Telephone Number : 206-525-9666
Fax Number : 206-522-0190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 07/08/2007

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