Provider Demographics
NPI:1164027850
Name:STRASSER, JEFFREY F (RPH)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:F
Last Name:STRASSER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-1226
Mailing Address - Country:US
Mailing Address - Phone:814-456-7071
Mailing Address - Fax:814-874-5022
Practice Address - Street 1:410 E 12TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-1226
Practice Address - Country:US
Practice Address - Phone:814-456-7071
Practice Address - Fax:814-874-5022
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038497L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist