Provider Demographics
NPI:1073102406
Name:STRAH, DONALD JOHN II (RPH)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:JOHN
Last Name:STRAH
Suffix:II
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 1:810 ELK AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-4153
Mailing Address - Country:US
Mailing Address - Phone:432-682-4237
Mailing Address - Fax:432-366-8186
Practice Address - Street 1:4101 E 42ND ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-7239
Practice Address - Country:US
Practice Address - Phone:432-366-1160
Practice Address - Fax:432-366-8186
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist