Provider Demographics
NPI:1710213459
Name:STEED, SHAWNA LYNN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:LYNN
Last Name:STEED
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 1:2007 N GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-7318
Mailing Address - Country:US
Mailing Address - Phone:214-771-3209
Mailing Address - Fax:214-771-3947
Practice Address - Street 1:10152 LAKE JUNE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-3042
Practice Address - Country:US
Practice Address - Phone:469-341-3900
Practice Address - Fax:214-771-3947
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-31
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist