Healthcare Provider Details

I. General information

NPI: 1215341136
Provider Name (Legal Business Name): DANIELLE SCHILLING PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 06/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S MAIN ST SUITE A
ADRIAN MI
49221-4366
US

IV. Provider business mailing address

1200 S MAIN ST SUITE A
ADRIAN MI
49221-4366
US

V. Phone/Fax

Practice location:
  • Phone: 517-263-0603
  • Fax: 517-266-9272
Mailing address:
  • Phone: 517-263-0603
  • Fax: 517-266-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302036079
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: