Healthcare Provider Details

I. General information

NPI: 1811196678
Provider Name (Legal Business Name): MARYANN SCHOLL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARYANN HEGLUND PHARMD

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STATE ST
ERIE PA
16550-0002
US

IV. Provider business mailing address

1313 LYNDALWOOD CT
FAIRVIEW PA
16415-1655
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-2488
  • Fax:
Mailing address:
  • Phone: 814-877-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP441927
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: