Organization
STROUD COMPOUNDING AND WELLNESS DRUGSTORE CORP
Active
Other names
Stroud Compounding and Wellness Drugstore, Corp
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHIKWANHA (OWNER)
(570) 476-6936
Entity
Organization
Contact information
Practice address
1619 N 9TH ST, STE 3, STROUDSBURG, PA 18360-6501
(570) 476-6936
(570) 476-6938
Mailing address
1619 N 9TH ST, STE 3, STROUDSBURG, PA 18360-6501
(570) 476-6936
(570) 476-6938
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481651
PA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027704260001
—
PA
01
—
2136912
PK
—
Enumeration date
12/04/2006
Last updated
09/19/2025
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