Basic Information
Provider Information
NPI: 1528442431
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINER
FirstName: MICHELE
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: PHARMACIST
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 NIAGARA ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142012135
CountryCode: US
TelephoneNumber: 7162428600
FaxNumber:  
Practice Location
Address1: 300 NIAGARA ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142012135
CountryCode: US
TelephoneNumber: 7162428600
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2015
LastUpdateDate: 07/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XI060216NYY Pharmacy Service ProvidersPharmacist 

No ID Information.


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