Provider Demographics
NPI:1003418674
Name:STEELE, TERRI JO (RPH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:JO
Last Name:STEELE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N NELLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5304
Mailing Address - Country:US
Mailing Address - Phone:702-452-0224
Mailing Address - Fax:702-453-4969
Practice Address - Street 1:450 N NELLIS BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5304
Practice Address - Country:US
Practice Address - Phone:702-452-0224
Practice Address - Fax:702-453-4969
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV111271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist