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NPI Code Detail

MEDICARE: JON KELLY STEELE PHARMACIST

MEDICARE: JON KELLY STEELE PHARMACIST
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
1183500000XPharmacistPS18568FL

General Provider Information

NPI Number : 1952686842
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON KELLY STEELE PHARMACIST
Provider Business Mailing Address
First Line : 4255 COMMERCIAL WAY
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-2326
Country : US
Telephone Number : 352-597-7504
Fax Number : 352-597-7509
Provider Business Practice Location Address
First Line : 4255 COMMERCIAL WAY
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-2326
Country : US
Telephone Number : 352-597-7504
Fax Number : 352-597-7509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 10/11/2011

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