Provider Demographics
NPI:1093068561
Name:SCHUBERT, DAVID C (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:SCHUBERT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S IRBY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3408
Mailing Address - Country:US
Mailing Address - Phone:843-454-1818
Mailing Address - Fax:843-629-8510
Practice Address - Street 1:1500 S IRBY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-3408
Practice Address - Country:US
Practice Address - Phone:843-454-1818
Practice Address - Fax:843-629-8510
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist