Healthcare Provider Details

I. General information

NPI: 1710975214
Provider Name (Legal Business Name): FRANCIS XAVIER STRAUB III R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RAILROAD ST
SAINT MARYS PA
15857-1729
US

IV. Provider business mailing address

342 W THERESIA RD
SAINT MARYS PA
15857-2626
US

V. Phone/Fax

Practice location:
  • Phone: 814-834-3017
  • Fax: 814-834-1031
Mailing address:
  • Phone: 814-781-3269
  • Fax: 814-834-5383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP033958L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: