Individual
TODD G STRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
602C SOUTH MORGAN ST, GRANBURY, TX 76048-1962
(817) 573-2512
(817) 573-3098
Mailing address
411 LAKEVIEW ST, GLEN ROSE, TX 76043-5029
(254) 898-1818
(254) 898-1819
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
20614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20614
PHARMACY LICENSE
TX
01
—
4500923753
CLIA
TX
01
—
4517162
NCPDP
TX
01
—
L0118826
DPS
TX
Enumeration date
10/23/2007
Last updated
03/07/2023
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