MEDICARE: MRS. CARALEE ANN SCHICK RPH

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	PH00017272	WA

General Provider Information

NPI Number	:	1548328685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARALEE ANN SCHICK RPH

Provider Business Mailing Address
First Line	:	4507 WEST WELLESLEY AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-1973
Country	:	US
Telephone Number	:	509-326-2900
Fax Number	:	509-328-2712

Provider Business Practice Location Address
First Line	:	4507 WEST WELLESLEY AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-1973
Country	:	US
Telephone Number	:	509-326-2900
Fax Number	:	509-328-2712

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. CARALEE ANN SCHICK RPH” Practice Location

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