Provider Demographics
NPI:1821323171
Name:STEEBER, DIMPLE SHAH (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:DIMPLE
Middle Name:SHAH
Last Name:STEEBER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07933-1350
Mailing Address - Country:US
Mailing Address - Phone:551-358-7215
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:PHARMACY DEPT - JEFFERSON LEVEL C
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5463
Practice Address - Fax:973-290-7029
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02921200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist