Provider Demographics
NPI:1114693702
Name:SCHLOEMER, NICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:NICHELLE
Middle Name:
Last Name:SCHLOEMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BELKNAP ST
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:WI
Mailing Address - Zip Code:54880-2900
Mailing Address - Country:US
Mailing Address - Phone:715-817-7146
Mailing Address - Fax:
Practice Address - Street 1:204 BELKNAP ST
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:WI
Practice Address - Zip Code:54880-2900
Practice Address - Country:US
Practice Address - Phone:715-817-7146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1227561835P2201X
WI185321835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA