Provider Demographics
NPI:1316222847
Name:STRASSBURG, MELISSA A (RPH)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:A
Last Name:STRASSBURG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CHESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2132
Mailing Address - Country:US
Mailing Address - Phone:413-567-5023
Mailing Address - Fax:
Practice Address - Street 1:1919 WILBRAHAM RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1822
Practice Address - Country:US
Practice Address - Phone:413-783-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH21942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist