Provider Demographics
NPI:1598041550
Name:STRICKLER, GEORGE A (RPH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:STRICKLER
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 1:2800 US HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-2831
Mailing Address - Country:US
Mailing Address - Phone:765-447-0307
Mailing Address - Fax:765-477-6480
Practice Address - Street 1:2800 US HIGHWAY 231 S
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-2831
Practice Address - Country:US
Practice Address - Phone:765-447-0307
Practice Address - Fax:765-477-6480
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014150A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist