Provider Demographics
NPI:1407925498
Name:SCHWINDT, TODD WAYNE (BSPHARM, RPH)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:WAYNE
Last Name:SCHWINDT
Suffix:
Gender:M
Credentials:BSPHARM, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2548 CELESTE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6277
Mailing Address - Country:US
Mailing Address - Phone:559-322-8478
Mailing Address - Fax:
Practice Address - Street 1:900 SHAW AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3900
Practice Address - Country:US
Practice Address - Phone:559-297-5697
Practice Address - Fax:559-297-5697
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46877183500000X, 1835N0905X
AZS101281835N0905X
TX431721835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear