Healthcare Provider Details

I. General information

NPI: 1417980301
Provider Name (Legal Business Name): DAVID ALAN STRAUCH P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N OHIO ST
APPLETON CITY MO
64724-1148
US

IV. Provider business mailing address

200 N OHIO ST
APPLETON CITY MO
64724-1148
US

V. Phone/Fax

Practice location:
  • Phone: 660-679-1592
  • Fax: 660-476-5563
Mailing address:
  • Phone: 660-679-1592
  • Fax: 660-476-5563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41872
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: