Provider Demographics
NPI:1376834192
Name:SCHUHMACHER, GARY PAT (RPH)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:PAT
Last Name:SCHUHMACHER
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 1:101 N ELY ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-2941
Mailing Address - Country:US
Mailing Address - Phone:509-783-1438
Mailing Address - Fax:509-783-3321
Practice Address - Street 1:101 N ELY ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2941
Practice Address - Country:US
Practice Address - Phone:509-783-1438
Practice Address - Fax:509-783-3321
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00009870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist