Provider Demographics
NPI:1154827459
Name:SCHNEIDER, MARK (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5824 NOLENSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6489
Mailing Address - Country:US
Mailing Address - Phone:615-331-2111
Mailing Address - Fax:615-331-6118
Practice Address - Street 1:5824 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6489
Practice Address - Country:US
Practice Address - Phone:615-331-2111
Practice Address - Fax:615-331-6118
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist