Healthcare Provider Details

I. General information

NPI: 1679911523
Provider Name (Legal Business Name): ERICA ERIN SCHROEDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 3RD AVE
MOUNTAIN LAKE MN
56159-1587
US

IV. Provider business mailing address

1007 3RD AVE
MOUNTAIN LAKE MN
56159-1587
US

V. Phone/Fax

Practice location:
  • Phone: 507-427-2707
  • Fax: 507-427-2328
Mailing address:
  • Phone: 507-427-2707
  • Fax: 507-427-2328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number119330
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: