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NPI Code Detail

MEDICARE: ADAM SCHROEDER PHARMD

MEDICARE: ADAM SCHROEDER 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
1183500000XPharmacist1-14506KS
2183500000XPharmacist14304OK

General Provider Information

NPI Number : 1881977395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM SCHROEDER PHARMD
Provider Business Mailing Address
First Line : 5901 NW 39TH ST
Second Line :
City : WARR ACRES
State : OK
Zip : 73122-2015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5901 NW 39TH ST
Second Line :
City : WARR ACRES
State : OK
Zip : 73122-2015
Country : US
Telephone Number : 405-495-8258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 11/23/2016

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Directions to “ ADAM SCHROEDER PHARMD” Practice Location

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