Bradley Schuldt
Individual provider Active NPI Pharmacist · Liberty Lake, WA
NPI 1609229897 · NPPES record last updated Jul 22, 2016
Key facts
- NPI
- 1609229897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH60658027 (WA)
- Practice address
- 1233 N Liberty Lake Rd
Pharmacy
Liberty Lake, WA 99019-7518 - Phone
- (509) 922-0705
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60658027 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60658027 | WA | Yes |
Addresses
Primary practice location
1233 N Liberty Lake Rd
Pharmacy
Liberty Lake, WA 99019-7518
Mailing address
1233 N Liberty Lake Rd
Pharmacy
Liberty Lake, WA 99019-7518
Phone (509) 922-0705
Other providers in Liberty Lake, WA
- Shandra Thea Rotenberry
- Bryan Rubin
- Xiola Sabastian
- Carrie Sarff
- Amy Karen Schaffner
- Tracy Schwartzman
- Scoliosis Northwest
- Scott W Ralph, DDS Ms PS
- Allen R Seely
- Shanley Psychiatry
All providers in Liberty Lake, WA · Pharmacist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.