Provider Demographics
NPI:1043781578
Name:STEEN PHARMACY, LLC
Entity Type:Organization
Organization Name:STEEN PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-687-8113
Mailing Address - Street 1:9106 PHILADELPHIA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4331
Mailing Address - Country:US
Mailing Address - Phone:141-068-7811
Mailing Address - Fax:
Practice Address - Street 1:9106 PHILADELPHIA RD STE 100
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4331
Practice Address - Country:US
Practice Address - Phone:141-068-7811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy