Provider Demographics
NPI:1245426055
Name:STRUNK-ROSS, DEBRA THERESA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:THERESA
Last Name:STRUNK-ROSS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CORNWELL DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-3632
Mailing Address - Country:US
Mailing Address - Phone:856-455-0220
Mailing Address - Fax:856-455-9462
Practice Address - Street 1:212 NEW RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2177
Practice Address - Country:US
Practice Address - Phone:609-653-8343
Practice Address - Fax:609-653-6491
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2014-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02782600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist