Healthcare Provider Details

I. General information

NPI: 1598071128
Provider Name (Legal Business Name): LISA SCHRECK R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 COVINGTON AVE
PIQUA OH
45356-2801
US

IV. Provider business mailing address

1510 COVINGTON AVE
PIQUA OH
45356-2801
US

V. Phone/Fax

Practice location:
  • Phone: 937-615-7020
  • Fax: 937-615-7055
Mailing address:
  • Phone: 937-615-7020
  • Fax: 937-615-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03-3-19445
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15096
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: