Provider Demographics
NPI:1760600456
Name:STRUBLE, STEVE R (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:R
Last Name:STRUBLE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 CRAGMOR DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-1340
Mailing Address - Country:US
Mailing Address - Phone:563-242-0814
Mailing Address - Fax:563-242-6729
Practice Address - Street 1:200 5TH AVE S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4345
Practice Address - Country:US
Practice Address - Phone:563-242-0814
Practice Address - Fax:563-242-6729
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist