Provider Demographics
NPI:1821208273
Name:STEELE, JOANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:
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 1:1612 MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-5022
Mailing Address - Country:US
Mailing Address - Phone:903-885-7510
Mailing Address - Fax:903-885-6601
Practice Address - Street 1:1065 GILMER ST
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4350
Practice Address - Country:US
Practice Address - Phone:903-885-9511
Practice Address - Fax:903-885-6601
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist