Healthcare Provider Details

I. General information

NPI: 1336283449
Provider Name (Legal Business Name): KEITH A SCHMITT RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 VANN AVE
EVANSVILLE IN
47714-3359
US

IV. Provider business mailing address

2901 ACORN CT
EVANSVILLE IN
47711-6739
US

V. Phone/Fax

Practice location:
  • Phone: 812-469-7435
  • Fax:
Mailing address:
  • Phone: 812-473-0665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26014386A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: