Provider Demographics
NPI:1912375999
Name:STROOM, NILS KRISTIAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NILS
Middle Name:KRISTIAN
Last Name:STROOM
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 1:3550 GRANDVIEW PKWY
Mailing Address - Street 2:APARTMENT 824
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1949
Mailing Address - Country:US
Mailing Address - Phone:260-415-0185
Mailing Address - Fax:
Practice Address - Street 1:2040 MARTIN ST S
Practice Address - Street 2:PUBLIX PHARMACY
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2326
Practice Address - Country:US
Practice Address - Phone:205-388-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist