Provider Demographics
NPI:1902254964
Name:STROBLE, WENDY SUE (RPH)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:STROBLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4517
Mailing Address - Country:US
Mailing Address - Phone:609-695-2000
Mailing Address - Fax:609-571-3151
Practice Address - Street 1:1861 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08648-4517
Practice Address - Country:US
Practice Address - Phone:609-695-2000
Practice Address - Fax:609-571-3151
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2020-08-05
Deactivation Date:2020-07-09
Deactivation Code:
Reactivation Date:2020-08-05
Provider Licenses
StateLicense IDTaxonomies
NJ28RI0987700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist