Provider Demographics
NPI:1295017341
Name:REMKES, SHELLEY SCHMITZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:SCHMITZ
Last Name:REMKES
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 1:125 MALLARD ST
Mailing Address - Street 2:STE C
Mailing Address - City:SAINT ROSE
Mailing Address - State:LA
Mailing Address - Zip Code:70087-4014
Mailing Address - Country:US
Mailing Address - Phone:504-712-7858
Mailing Address - Fax:504-712-4799
Practice Address - Street 1:125 MALLARD ST
Practice Address - Street 2:STE C
Practice Address - City:SAINT ROSE
Practice Address - State:LA
Practice Address - Zip Code:70087-4014
Practice Address - Country:US
Practice Address - Phone:504-712-7858
Practice Address - Fax:504-712-4799
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist