Healthcare Provider Details

I. General information

NPI: 1649375924
Provider Name (Legal Business Name): SCHROEDER DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MARKET ST
OSAGE CITY KS
66523-1157
US

IV. Provider business mailing address

535 MARKET ST
OSAGE CITY KS
66523-1157
US

V. Phone/Fax

Practice location:
  • Phone: 785-528-4322
  • Fax: 785-528-3357
Mailing address:
  • Phone: 785-528-4322
  • Fax: 785-528-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-10229
License Number StateKS

VIII. Authorized Official

Name: MICHAEL SCHROEDER
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 785-528-4322