Healthcare Provider Details

I. General information

NPI: 1053531681
Provider Name (Legal Business Name): RONALD JOSEPH STRECK RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 MUSTANG DR
OAK HILL VA
20171-3532
US

IV. Provider business mailing address

2816 MUSTANG DR
OAK HILL VA
20171-3532
US

V. Phone/Fax

Practice location:
  • Phone: 202-251-8365
  • Fax: 202-558-6580
Mailing address:
  • Phone: 202-251-8365
  • Fax: 202-558-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202001858
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: