Provider Demographics
NPI:1902857014
Name:STRATMANS PHARMACY INC
Entity Type:Organization
Organization Name:STRATMANS PHARMACY INC
Other - Org Name:STRATMANS LTC PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-626-1930
Mailing Address - Street 1:2038 DUFFERS LN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-8016
Mailing Address - Country:US
Mailing Address - Phone:812-626-1930
Mailing Address - Fax:812-436-4620
Practice Address - Street 1:407 MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708
Practice Address - Country:US
Practice Address - Phone:812-436-4619
Practice Address - Fax:812-436-4620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005860A3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1559991OtherNCPDP PROVIDER IDENTIFICATION NUMBER
IN200501150AMedicaid
1559991OtherNCPDP PROVIDER IDENTIFICATION NUMBER