Provider Demographics
NPI:1417143199
Name:SCHMAILZL, NANCY GOODELL (RPH)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:GOODELL
Last Name:SCHMAILZL
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 1:1705 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51534-1256
Mailing Address - Country:US
Mailing Address - Phone:712-527-9302
Mailing Address - Fax:
Practice Address - Street 1:1206 LOCUST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IA
Practice Address - Zip Code:51534
Practice Address - Country:US
Practice Address - Phone:712-527-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist