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NPI Code Detail

MEDICARE: BRUCE DALE SCHMIDT R.PH.

MEDICARE:   BRUCE DALE SCHMIDT  R.PH.
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
1183500000XPharmacist37674CA

General Provider Information

NPI Number : 1801187604
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE DALE SCHMIDT R.PH.
Provider Business Mailing Address
First Line : 3558 RUFFIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2596
Country : US
Telephone Number : 858-627-5646
Fax Number : 858-627-5610
Provider Business Practice Location Address
First Line : 3558 RUFFIN RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2596
Country : US
Telephone Number : 858-627-5646
Fax Number : 858-627-5610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2011
Last Update Date : 04/27/2011

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Directions to “ BRUCE DALE SCHMIDT R.PH.” Practice Location

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