Healthcare Provider Details

I. General information

NPI: 1760768873
Provider Name (Legal Business Name): JAMI JO SCHROEDER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S PARK AVE
BROADUS MT
59317
US

IV. Provider business mailing address

PO BOX 549
BROADUS MT
59317-0549
US

V. Phone/Fax

Practice location:
  • Phone: 406-436-2270
  • Fax: 406-436-2362
Mailing address:
  • Phone: 406-436-2270
  • Fax: 406-436-2362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2937
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: