Provider Demographics
NPI:1437368495
Name:TROHA, GRETCHEN BELTZHOOVER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:BELTZHOOVER
Last Name:TROHA
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 1:1404 W ACRES RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5846
Mailing Address - Country:US
Mailing Address - Phone:815-729-3339
Mailing Address - Fax:
Practice Address - Street 1:199 BROOK FOREST AVE
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60431-7252
Practice Address - Country:US
Practice Address - Phone:815-730-3973
Practice Address - Fax:815-730-7403
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist