Healthcare Provider Details

I. General information

NPI: 1225244726
Provider Name (Legal Business Name): CHERYL S SCHULTZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK
WHEELING WV
26003-6379
US

IV. Provider business mailing address

815 ALAMAE LAKES RD
WASHINGTON PA
15301-9150
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3278
  • Fax:
Mailing address:
  • Phone: 724-225-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0004375
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: