Provider Demographics
NPI:1689736167
Name:STRYKER-SMIT, JOHANNA CATHARINA HENDRICA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:CATHARINA HENDRICA
Last Name:STRYKER-SMIT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOHANNA
Other - Middle Name:CATHARINA HENDRICA
Other - Last Name:SMIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3401 N GRANNEN RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9655
Mailing Address - Country:US
Mailing Address - Phone:520-743-8736
Mailing Address - Fax:
Practice Address - Street 1:3401 N GRANNEN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9655
Practice Address - Country:US
Practice Address - Phone:520-548-6140
Practice Address - Fax:520-300-5125
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist