Individual
ANDREA ROSE STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2067 INTERCHANGE RD, ERIE, PA 16509-8315
(814) 868-7923
(814) 864-3698
Mailing address
625 FIELDSTONE DR, ERIE, PA 16509-8226
(814) 882-5155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP442202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPI000668
AUTHORIZATION TO ADMINISTER INJECTABLES FOR PHARMACIST
PA
Enumeration date
09/20/2021
Last updated
11/10/2023
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