Healthcare Provider Details

I. General information

NPI: 1255004768
Provider Name (Legal Business Name): KATHRYN JOLYNN SCHROEDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 COOPER POINT RD SW
OLYMPIA WA
98502-5736
US

IV. Provider business mailing address

8237 SUMMERWOOD DR SE
OLYMPIA WA
98513-8876
US

V. Phone/Fax

Practice location:
  • Phone: 360-486-6710
  • Fax:
Mailing address:
  • Phone: 740-243-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0012703
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH61295213
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03440830
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: