Provider Demographics
NPI:1114356409
Name:SCHNEIDER, CHERYL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E DAYTON YELLOW SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-3906
Mailing Address - Country:US
Mailing Address - Phone:937-879-2231
Mailing Address - Fax:937-879-9370
Practice Address - Street 1:224 E DAYTON YELLOW SPRINGS RD
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-3906
Practice Address - Country:US
Practice Address - Phone:937-879-2231
Practice Address - Fax:937-879-9370
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist