Provider Demographics
NPI:1225436439
Name:SCHNELL, SHARON (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:SCHNELL
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 1:200 ST. CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:ST. MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885
Mailing Address - Country:US
Mailing Address - Phone:419-394-3387
Mailing Address - Fax:419-394-6147
Practice Address - Street 1:200 ST. CLAIR AVE
Practice Address - Street 2:
Practice Address - City:ST. MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885
Practice Address - Country:US
Practice Address - Phone:419-394-3387
Practice Address - Fax:419-394-6147
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03112173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist