MEDICARE: DENISE SCHUG

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	26018887A	IN

General Provider Information

NPI Number	:	1700182557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE SCHUG

Provider Business Mailing Address
First Line	:	1945 LINCOLNWAY E
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46613-3424
Country	:	US
Telephone Number	:	574-232-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 LINCOLNWAY E
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46613-3424
Country	:	US
Telephone Number	:	574-232-9540
Fax Number	:

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

Provider Enumeration Date	:	01/26/2011
Last Update Date	:	01/26/2011

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Directions to “ DENISE SCHUG ” Practice Location

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