Provider Demographics
NPI:1417089053
Name:DARNELL, SCHUYLER MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SCHUYLER
Middle Name:MARIE
Last Name:DARNELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-1743
Mailing Address - Country:US
Mailing Address - Phone:217-245-5424
Mailing Address - Fax:
Practice Address - Street 1:1205 W MORTON AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:IL
Practice Address - Zip Code:62650-2770
Practice Address - Country:US
Practice Address - Phone:217-243-2152
Practice Address - Fax:217-243-2355
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist