Provider Demographics
NPI:1649735051
Name:EDOCS-STRAYER, BARBARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:EDOCS-STRAYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:STRAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:44 BLAINE AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2709
Mailing Address - Country:US
Mailing Address - Phone:440-735-3594
Mailing Address - Fax:440-735-3596
Practice Address - Street 1:44 BLAINE AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2709
Practice Address - Country:US
Practice Address - Phone:440-735-3594
Practice Address - Fax:440-735-3596
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53633183500000X
OH03216417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH360075Medicaid