Provider Demographics
NPI:1538389010
Name:STREDIC, DARON (PHARMD)
Entity type:Individual
Prefix:
First Name:DARON
Middle Name:
Last Name:STREDIC
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:DARON
Other - Middle Name:
Other - Last Name:STREDIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3245 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-4501
Mailing Address - Country:US
Mailing Address - Phone:281-485-1323
Mailing Address - Fax:281-485-5774
Practice Address - Street 1:3245 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4501
Practice Address - Country:US
Practice Address - Phone:281-485-1323
Practice Address - Fax:281-485-5774
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist