Provider Demographics
NPI:1427046093
Name:SCHLECHT, NATHAN WILBUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:WILBUR
Last Name:SCHLECHT
Suffix:
Gender:M
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:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:FORMAN
Mailing Address - State:ND
Mailing Address - Zip Code:58032-0035
Mailing Address - Country:US
Mailing Address - Phone:701-724-6222
Mailing Address - Fax:701-724-3842
Practice Address - Street 1:330 MAIN ST S
Practice Address - Street 2:
Practice Address - City:FORMAN
Practice Address - State:ND
Practice Address - Zip Code:58032-4001
Practice Address - Country:US
Practice Address - Phone:701-724-6222
Practice Address - Fax:701-724-3842
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4646183500000X
WAPH00018604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist