=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205735503
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SIERRA ELIZABETH STROUSE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2026
-----------------------------------------------------
Last Update Date | 11/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9627 ROUTE 35 STE 20
-----------------------------------------------------
City | MOUNT PLEASANT MILLS
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17853-8409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-539-2050
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 942 MASSER ST
-----------------------------------------------------
City | SUNBURY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17801-1554
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP455993
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------