Renee Lynn Russell-Schaub, CPHT

Individual provider Active NPI Pharmacy Technician · Mesick, MI

NPI 1194517045 · NPPES record last updated May 19, 2025

Key facts

NPI
1194517045
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
5303004711 (MI)
Practice address
112 Mesick Ave.
PO Box 8
Mesick, MI 49668
Phone
(231) 885-1751
Fax
(231) 885-1998
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5303004711MIMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesick Pharmacy Inc Past
since May 25, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303004711 MI Yes

Addresses

Primary practice location

112 Mesick Ave.
PO Box 8
Mesick, MI 49668

Mailing address

10101 W 16 Rd
Mesick, MI 49668-9783
Phone (231) 883-4709

Other providers in Mesick, MI

All providers in Mesick, MI · Pharmacy Technician in Michigan

Sources for this page

Verify at the official NPI Registry.