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General NPI Number Information
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NPI Number | 1750446191
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Entity Type | Organization
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Legal Business Name | DAVID K & ELLEN SCHMITZ, INC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 700 S RIVER ST
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City | SPOONER
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State | WI
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Zip | 54801-9692
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Country | US
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Telephone | 715-635-8785
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Fax | 715-635-2637
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Provider Business Mailing Address
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Address Line | 700 S RIVER ST
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City | SPOONER
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State | WI
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Zip | 54801-9692
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Country | US
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Telephone | 715-635-8785
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Fax | 715-635-2637
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Authorized Official
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Title or Position | MANAGING PHARMACIST
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Name | ANGELA KAY TELLEFSON
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Credential | PHARMD
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Telephone | 715-635-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 7150
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License Number State | WI
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