Provider Demographics
NPI:1215183033
Name:SCHMITT, TIFFANY L (RPH)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:L
Last Name:SCHMITT
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 1:5809 WILLIAMSBURG CIR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3774
Mailing Address - Country:US
Mailing Address - Phone:330-650-5401
Mailing Address - Fax:
Practice Address - Street 1:3090 W MARKET ST
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3608
Practice Address - Country:US
Practice Address - Phone:330-873-4850
Practice Address - Fax:330-873-4807
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-19469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist