MEDICARE: DR. STEVEN LEE CLAUSE PHARMD

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	036650	NY

General Provider Information

NPI Number	:	1619135324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LEE CLAUSE PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 1087
Second Line	:	US ARMY KWAJALEIN ATOLL
City	:	APO
State	:	AP
Zip	:	96555-1087
Country	:	US
Telephone Number	:	805-355-2398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1087 BUILDING 601 OCEAN ROAD
Second Line	:	US ARMY KWAJALEIN ATOLL
City	:	APO
State	:	AP
Zip	:	96555-1087
Country	:	US
Telephone Number	:	805-355-2398
Fax Number	:

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

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/29/2008

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