Provider Demographics
NPI:1538318688
Name:STRAUB, JAMES J (R PH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:STRAUB
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 S CABLE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3468
Mailing Address - Country:US
Mailing Address - Phone:419-221-2059
Mailing Address - Fax:419-222-5272
Practice Address - Street 1:890 S CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3468
Practice Address - Country:US
Practice Address - Phone:419-221-2059
Practice Address - Fax:419-222-5272
Is Sole Proprietor?:No
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-15864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist