Healthcare Provider Details

I. General information

NPI: 1740493816
Provider Name (Legal Business Name): PAULINDA SUE SCHUMER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 W BUSINESS US HIGHWAY 60
DEXTER MO
63841-2706
US

IV. Provider business mailing address

625 COUNTY HIGHWAY 524
PARMA MO
63870-9150
US

V. Phone/Fax

Practice location:
  • Phone: 573-614-4243
  • Fax: 573-614-4292
Mailing address:
  • Phone: 573-276-4691
  • Fax: 573-614-4292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number041969
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: