Provider Demographics
NPI:1306295571
Name:STROUSE, COLLEEN (PHARMD)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:STROUSE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SAND RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:PA
Mailing Address - Zip Code:16841-4013
Mailing Address - Country:US
Mailing Address - Phone:814-441-6683
Mailing Address - Fax:
Practice Address - Street 1:132 ABIGAIL LN
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-7153
Practice Address - Country:US
Practice Address - Phone:866-248-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI060965-11835P1200X
PARP4510771835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy