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NPI Code Detail

MEDICARE: AMY SCHIVELEY PHARMD

MEDICARE: AMY SCHIVELEY PHARMD
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
1183500000XPharmacist13235-040WI
2183500000XPharmacist10152TN

General Provider Information

NPI Number : 1336282557
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SCHIVELEY PHARMD
Provider Business Mailing Address
First Line : 6230 BERKSHIRE LN
Second Line :
City : RACINE
State : WI
Zip : 53406-2253
Country : US
Telephone Number : 262-886-1330
Fax Number :
Provider Business Practice Location Address
First Line : 516 MONUMENT SQ
Second Line :
City : RACINE
State : WI
Zip : 53403-1033
Country : US
Telephone Number : 262-632-0520
Fax Number : 262-632-6777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 07/08/2007

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