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NPI 1255004768

NPI 1255004768 : KATHRYN JOLYNN SCHROEDER PHARMD : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1255004768
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN JOLYNN SCHROEDER PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2021
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    Last Update Date     |    12/27/2023
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Provider Practice Location Address
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    Address Line         |    1620 COOPER POINT RD SW 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98502-5736
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    Country              |    US
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    Telephone            |    360-486-6710
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8237 SUMMERWOOD DR SE 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98513-8876
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    Country              |    US
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    Telephone            |    740-243-4393
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP0012703
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PH61295213
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    03440830
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    License Number State |    OH
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