MEDICARE: MR. RONALD JOSEPH STRECK RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202001858	VA

General Provider Information

NPI Number	:	1053531681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD JOSEPH STRECK RPH

Provider Business Mailing Address
First Line	:	2816 MUSTANG DR
Second Line	:
City	:	OAK HILL
State	:	VA
Zip	:	20171-3532
Country	:	US
Telephone Number	:	202-251-8365
Fax Number	:	202-558-6580

Provider Business Practice Location Address
First Line	:	2816 MUSTANG DR
Second Line	:
City	:	OAK HILL
State	:	VA
Zip	:	20171-3532
Country	:	US
Telephone Number	:	202-251-8365
Fax Number	:	202-558-6580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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