MEDICARE: DR. ANDREA EVA SCHOMMER PHARM D.

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	PH00017346	WA

General Provider Information

NPI Number	:	1942322102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA EVA SCHOMMER PHARM D.

Provider Business Mailing Address
First Line	:	18522 28TH AVE NE
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-4135
Country	:	US
Telephone Number	:	206-973-9222
Fax Number	:

Provider Business Practice Location Address
First Line	:	18522 28TH AVE NE
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-4135
Country	:	US
Telephone Number	:	206-973-9222
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/27/2022

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