Provider Demographics
NPI:1013570852
Name:SCHOLER, ALLISON JANE STUMPF (RPH)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JANE STUMPF
Last Name:SCHOLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:JANE
Other - Last Name:STUMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 S OREGON ST APT 5
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-3346
Mailing Address - Country:US
Mailing Address - Phone:510-381-1574
Mailing Address - Fax:
Practice Address - Street 1:807 S MAIN ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3320
Practice Address - Country:US
Practice Address - Phone:530-842-5596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA80012OtherPHARMACIST LICENSE NUMBER