1689736167 NPI number — JOHANNA CATHARINA HENDRICA STRYKER-SMIT PHARM.D.

Table of content: JOHANNA CATHARINA HENDRICA STRYKER-SMIT PHARM.D. (NPI 1689736167)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689736167 NPI number — JOHANNA CATHARINA HENDRICA STRYKER-SMIT PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRYKER-SMIT
Provider First Name:
JOHANNA
Provider Middle Name:
CATHARINA HENDRICA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SMIT
Provider Other First Name:
JOHANNA
Provider Other Middle Name:
CATHARINA HENDRICA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARM.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1689736167
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3401 N GRANNEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85745-9655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-743-8736
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3401 N GRANNEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85745-9655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-548-6140
Provider Business Practice Location Address Fax Number:
520-300-5125
Provider Enumeration Date:
12/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  10803 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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