Provider Demographics
NPI:1356509798
Name:STRAUS, CHARLES D (RPH)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:STRAUS
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 1:6153 OSPREY TER
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2617
Mailing Address - Country:US
Mailing Address - Phone:954-428-2018
Mailing Address - Fax:954-428-2018
Practice Address - Street 1:11204 W STATE ROAD 84
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-4021
Practice Address - Country:US
Practice Address - Phone:954-476-0203
Practice Address - Fax:954-476-7642
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0016511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist