Provider Demographics
NPI:1225153570
Name:SCHWENDEMAN, FREDWYN CREECH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:FREDWYN
Middle Name:CREECH
Last Name:SCHWENDEMAN
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 1:2809 CLAYS MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2702
Mailing Address - Country:US
Mailing Address - Phone:859-278-4294
Mailing Address - Fax:
Practice Address - Street 1:2809 CLAYS MILL RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2702
Practice Address - Country:US
Practice Address - Phone:859-278-4294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist