Provider Demographics
NPI:1487255998
Name:STRAZAR, ABBEY MARIE
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:MARIE
Last Name:STRAZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 ACTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3310
Mailing Address - Country:US
Mailing Address - Phone:216-870-7260
Mailing Address - Fax:
Practice Address - Street 1:5870 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1589
Practice Address - Country:US
Practice Address - Phone:614-760-9222
Practice Address - Fax:614-760-7787
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist