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NPI Code Detail

MEDICARE: KELSEY LYNN STRAUBHAAR PHARMD

MEDICARE: KELSEY LYNN STRAUBHAAR PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH.03334446-3OH

General Provider Information

NPI Number : 1750767000
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY LYNN STRAUBHAAR PHARMD
Provider Business Mailing Address
First Line : 16284 BARDBURY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-5415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11701 DETROIT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3041
Country : US
Telephone Number : 216-227-0819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2015
Last Update Date : 06/16/2016

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