Provider Demographics
NPI:1073865374
Name:SCHOECH, DAVID R (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:SCHOECH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 W COUNTRY RD
Mailing Address - Street 2:P.O. BOX 186
Mailing Address - City:COLUMBUS
Mailing Address - State:KS
Mailing Address - Zip Code:66725-3003
Mailing Address - Country:US
Mailing Address - Phone:620-674-3875
Mailing Address - Fax:
Practice Address - Street 1:922 W COUNTRY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:KS
Practice Address - Zip Code:66725-3003
Practice Address - Country:US
Practice Address - Phone:620-674-3875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-105461835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist