Provider Demographics
NPI:1972888154
Name:STEIL, ALLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:STEIL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:STEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:621 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2712
Mailing Address - Country:US
Mailing Address - Phone:612-522-2383
Mailing Address - Fax:
Practice Address - Street 1:621 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2712
Practice Address - Country:US
Practice Address - Phone:612-522-2383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist