Provider Demographics
NPI:1376133835
Name:SCHUMANN, KARL STEPHEN (RPH)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:STEPHEN
Last Name:SCHUMANN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ODYSSEY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1568
Mailing Address - Country:US
Mailing Address - Phone:551-427-4992
Mailing Address - Fax:302-999-7918
Practice Address - Street 1:165 ODYSSEY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1568
Practice Address - Country:US
Practice Address - Phone:551-427-4992
Practice Address - Fax:302-999-7918
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0001527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist