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NPI Code Detail

MEDICARE: REGAN P STEED PHARMD

MEDICARE: REGAN P STEED 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
1183500000XPharmacistE09692MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E09692OTHERMSPHARMACY LICENSE

General Provider Information

NPI Number : 1962587527
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN P STEED PHARMD
Provider Business Mailing Address
First Line : 500 CYPRESS LN APT B4
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-7535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1427 S MAIN ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-7000
Country : US
Telephone Number : 662-378-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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Directions to “ REGAN P STEED PHARMD” Practice Location

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