Healthcare Provider Details

I. General information

NPI: 1215109608
Provider Name (Legal Business Name): CATHERINE MARIE SCHOENBAECHLER PHARMD, BSPHARM, LDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 WHITEWAY AVE
LOUISVILLE KY
40205-2931
US

IV. Provider business mailing address

3001 WHITEWAY AVE
LOUISVILLE KY
40205-2931
US

V. Phone/Fax

Practice location:
  • Phone: 502-458-2655
  • Fax: 502-458-2655
Mailing address:
  • Phone: 502-458-2655
  • Fax: 502-458-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number011578
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011578
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: