Provider Demographics
NPI:1326225327
Name:SCHWARTZWALD, ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:SCHWARTZWALD
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 1:125 S THOMPSON RD
Mailing Address - Street 2:O'CONNELL PHARMACY LTC
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-2526
Mailing Address - Country:US
Mailing Address - Phone:608-837-8002
Mailing Address - Fax:608-837-8005
Practice Address - Street 1:125 S THOMPSON RD
Practice Address - Street 2:O'CONNELL PHARMACY LTC
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-2526
Practice Address - Country:US
Practice Address - Phone:608-837-8002
Practice Address - Fax:608-837-8005
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12596-040183500000X
MN115469-6183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist