Provider Demographics
NPI:1619924560
Name:STRASIA, GENA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:GENA
Middle Name:ELIZABETH
Last Name:STRASIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 THOMAS AVE S
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-1956
Mailing Address - Country:US
Mailing Address - Phone:612-253-8976
Mailing Address - Fax:
Practice Address - Street 1:3945 W 50TH ST
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1203
Practice Address - Country:US
Practice Address - Phone:952-224-9880
Practice Address - Fax:952-224-9885
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118145-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist