Provider Demographics
NPI:1184892382
Name:STROH, TODD (RPH)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:
Last Name:STROH
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 1:7205 GOVERNOR PRINTZ BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-2470
Mailing Address - Country:US
Mailing Address - Phone:302-798-1898
Mailing Address - Fax:
Practice Address - Street 1:2105 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2426
Practice Address - Country:US
Practice Address - Phone:302-798-4618
Practice Address - Fax:302-798-4632
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA1-0002128Medicaid