Healthcare Provider Details

I. General information

NPI: 1497048813
Provider Name (Legal Business Name): SUMMER E SCHROEDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 LOMAS BLVD NE
ALBUQUERQUE NM
87110-6545
US

IV. Provider business mailing address

5718 HANNETT AVE NE
ALBUQUERQUE NM
87110-5237
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-6868
  • Fax:
Mailing address:
  • Phone: 505-255-5729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP000007625
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: