MEDICARE: DAVID R SCHOECH R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1-10546	KS

General Provider Information

NPI Number	:	1073865374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R SCHOECH R.PH.

Provider Business Mailing Address
First Line	:	922 W COUNTRY RD
Second Line	:	P.O. BOX 186
City	:	COLUMBUS
State	:	KS
Zip	:	66725-3003
Country	:	US
Telephone Number	:	620-674-3875
Fax Number	:

Provider Business Practice Location Address
First Line	:	922 W COUNTRY RD
Second Line	:
City	:	COLUMBUS
State	:	KS
Zip	:	66725-3003
Country	:	US
Telephone Number	:	620-674-3875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	10/10/2012

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