Provider Demographics
NPI:1437283363
Name:STRELL, JOHN E (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:STRELL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ROY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:CT
Mailing Address - Zip Code:06712-1809
Mailing Address - Country:US
Mailing Address - Phone:203-758-0465
Mailing Address - Fax:
Practice Address - Street 1:2 ROY MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:CT
Practice Address - Zip Code:06712-1809
Practice Address - Country:US
Practice Address - Phone:203-758-0465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT08570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist