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General NPI Number Information
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NPI Number | 1336126390
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Entity Type | Individual
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Provider Name | BRYAN KEITH STROBL RPH
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1130
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Country | US
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Telephone | 502-361-2301
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Fax | 502-375-0530
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Provider Business Mailing Address
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Address Line | 6714 CHIMNEY HILL RD
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City | CRESTWOOD
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State | KY
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Zip | 40014-7221
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Country | US
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Telephone | 502-426-7035
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 011318
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License Number State | KY
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