Provider Demographics
NPI:1285214668
Name:BELLEFEUILLE, STEVEN GILFRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GILFRY
Last Name:BELLEFEUILLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 E 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3335
Mailing Address - Country:US
Mailing Address - Phone:509-590-6040
Mailing Address - Fax:
Practice Address - Street 1:123 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MEDICAL LAKE
Practice Address - State:WA
Practice Address - Zip Code:99022
Practice Address - Country:US
Practice Address - Phone:509-299-5113
Practice Address - Fax:509-299-9125
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-73761183500000X
IDP9343183500000X
WAPH61121491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist