Provider Demographics
NPI:1962735977
Name:STARETZ, JOHN C (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:STARETZ
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 1:455 N ENOLA RD # K
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2176
Mailing Address - Country:US
Mailing Address - Phone:717-732-3666
Mailing Address - Fax:717-728-1310
Practice Address - Street 1:455 N ENOLA RD # K
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2176
Practice Address - Country:US
Practice Address - Phone:717-732-3666
Practice Address - Fax:717-728-1310
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI001307183500000X
PARP441836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist