Provider Demographics
NPI:1104091214
Name:VAN STEEDEN, TAMI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMI
Middle Name:
Last Name:VAN STEEDEN
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 1:10 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7204
Mailing Address - Country:US
Mailing Address - Phone:401-847-5948
Mailing Address - Fax:
Practice Address - Street 1:7 E MAIN RD
Practice Address - Street 2:RITE AID PHARMACY 10222
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4911
Practice Address - Country:US
Practice Address - Phone:401-849-4600
Practice Address - Fax:401-849-4120
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27039183500000X
RIRPH04608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist