Provider Demographics
NPI:1396036356
Name:SCHMIDT, MEGAN MARIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MN
Mailing Address - Zip Code:55396-2395
Mailing Address - Country:US
Mailing Address - Phone:507-450-2867
Mailing Address - Fax:
Practice Address - Street 1:214 W 9TH ST
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MN
Practice Address - Zip Code:55396-2395
Practice Address - Country:US
Practice Address - Phone:507-450-2867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist