Stephanie Schultz, RPH
Individual provider Active NPI Pharmacist · Andrews Afb, MD
NPI 1962576256 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962576256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4855 (SD)
- Practice address
- 1050 W. Perimeter Rd
Andrews Afb, MD 20762 - Phone
- (240) 857-8770
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4855 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4855 | SD | Yes |
Addresses
Primary practice location
1050 W. Perimeter Rd
Andrews Afb, MD 20762
Mailing address
77 Commonwealth Ave
Alexandria, VA 22301
Other providers in Andrews Afb, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.