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NPI Code Detail

MEDICARE: ERICA L SCHROEDER RPH

MEDICARE: ERICA L SCHROEDER RPH
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
1183500000XPharmacistPS32238FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS32238OTHERFLPHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1720361348
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA L SCHROEDER RPH
Provider Business Mailing Address
First Line : 7956 AMBLESIDE WAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7350
Country : US
Telephone Number : 407-443-9408
Fax Number :
Provider Business Practice Location Address
First Line : 13950 JOG RD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-5903
Country : US
Telephone Number : 561-865-1527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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