MEDICARE: MRS. JOANN 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	183500000X	Pharmacist	20465	TX

General Provider Information

NPI Number	:	1821208273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANN STEELE RPH

Provider Business Mailing Address
First Line	:	1612 MYRTLE DR
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-5022
Country	:	US
Telephone Number	:	903-885-7510
Fax Number	:	903-885-6601

Provider Business Practice Location Address
First Line	:	1065 GILMER ST
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-4350
Country	:	US
Telephone Number	:	903-885-9511
Fax Number	:	903-885-6601

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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