Healthcare Provider Details

I. General information

NPI: 1710758958
Provider Name (Legal Business Name): WILLIAM SCHROEDER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 E BROADWAY ST
HELENA MT
59601-4928
US

IV. Provider business mailing address

837 GUTHRIE RD
HELENA MT
59602-9648
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-2350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA-PHA-LIC-100929
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: