Nathan Straeter
Individual provider Active NPI Pharmacist · Caruthersville, MO
NPI 1134573017 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1134573017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2015024636 (MO)
- Practice address
- State Highway 84 West
Caruthersville, MO 63830 - Phone
- (573) 333-0073
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015024636 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2015024636 | MO | Yes |
Addresses
Primary practice location
State Highway 84 West
Caruthersville, MO 63830
Mailing address
State Highway 84 West
Caruthersville, MO 63830
Phone (573) 333-0073
Other providers in Caruthersville, MO
- Roger Dale Smith
- Southeast Missouri Health Network
- Southeast Missouri Health Network
- Star Physical Therapy LP
- Brea Stine
- Finley G Strawn
- Siedah S Suttles
- Terrence M Swinger
- T M Swinger & D V McKillip, PTR
- Korissa Taylor
All providers in Caruthersville, MO · Pharmacist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.