Provider Demographics
NPI:1417568205
Name:SCHULZ, DILLON L (PHARMD)
Entity Type:Individual
Prefix:
First Name:DILLON
Middle Name:L
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5338 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-8541
Mailing Address - Country:US
Mailing Address - Phone:406-465-4038
Mailing Address - Fax:
Practice Address - Street 1:1649 MAIN ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4043
Practice Address - Country:US
Practice Address - Phone:406-254-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT71067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist