MEDICARE: DAVID B SCHMICK

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	1835X0200X	Oncology Pharmacist	PL00014325	WA

General Provider Information

NPI Number	:	1205984671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID B SCHMICK

Provider Business Mailing Address
First Line	:	5105 E 3RD AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-0725
Country	:	US
Telephone Number	:	509-228-1313
Fax Number	:	509-535-4290

Provider Business Practice Location Address
First Line	:	5105 E 3RD AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-0725
Country	:	US
Telephone Number	:	509-228-1313
Fax Number	:	509-535-4290

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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Directions to “ DAVID B SCHMICK ” Practice Location

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