Provider Demographics
NPI:1922211846
Name:STROMMER, SCOTT ERIC (RPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ERIC
Last Name:STROMMER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:IA
Mailing Address - Zip Code:52342-1724
Mailing Address - Country:US
Mailing Address - Phone:641-484-2551
Mailing Address - Fax:
Practice Address - Street 1:303 MESKWAKI RD
Practice Address - Street 2:
Practice Address - City:TAMA
Practice Address - State:IA
Practice Address - Zip Code:52339-9634
Practice Address - Country:US
Practice Address - Phone:641-484-4667
Practice Address - Fax:641-484-4875
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS15993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist