MEDICARE: MR. DONALD ASHLEY STRAUB 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	03-3-20152	OH

General Provider Information

NPI Number	:	1295017309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD ASHLEY STRAUB RPH

Provider Business Mailing Address
First Line	:	9961 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3823
Country	:	US
Telephone Number	:	513-942-3670
Fax Number	:	513-942-2846

Provider Business Practice Location Address
First Line	:	9961 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3823
Country	:	US
Telephone Number	:	513-942-3670
Fax Number	:	513-942-2846

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

Provider Enumeration Date	:	09/14/2011
Last Update Date	:	01/15/2015

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