MEDICARE: CARI SCHULTZ 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
1	183500000X	Pharmacist	20364-40	WI

General Provider Information

NPI Number	:	1619595261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARI SCHULTZ PHARMD

Provider Business Mailing Address
First Line	:	1633 W BENDER RD APT 6B
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 W BENDER RD APT 6B
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3821
Country	:	US
Telephone Number	:	920-253-7595
Fax Number	:

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	07/09/2020

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Directions to “ CARI SCHULTZ PHARMD” Practice Location

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