Provider Demographics
NPI:1326634700
Name:SCHOSSOW, RHONDA MAY (PD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:MAY
Last Name:SCHOSSOW
Suffix:
Gender:F
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8279 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-8169
Mailing Address - Country:US
Mailing Address - Phone:479-841-0360
Mailing Address - Fax:
Practice Address - Street 1:715 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-6637
Practice Address - Country:US
Practice Address - Phone:479-631-7013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy