Healthcare Provider Details

I. General information

NPI: 1720963622
Provider Name (Legal Business Name): SAMANTHA SCHUTTE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 CARMICHAEL RD
MONTGOMERY AL
36106-2803
US

IV. Provider business mailing address

7256 CAMBRIC LN
LEEDS AL
35094-8818
US

V. Phone/Fax

Practice location:
  • Phone: 334-747-4717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20505
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number20505
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: