MEDICARE: DR. SCOTT SCHIMMEL PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03135517	OH

General Provider Information

NPI Number	:	1518492206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT SCHIMMEL PHARM.D

Provider Business Mailing Address
First Line	:	2555 GLENDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2648
Country	:	US
Telephone Number	:	419-385-4675
Fax Number	:	419-385-4699

Provider Business Practice Location Address
First Line	:	2555 GLENDALE AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2648
Country	:	US
Telephone Number	:	419-385-4675
Fax Number	:	419-385-4699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	05/01/2017

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