Provider Demographics
NPI:1437432556
Name:SCHUMACHER, MARK ROBERT (RPH)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ROBERT
Last Name:SCHUMACHER
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 1:57 LANSDOWNE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-2928
Mailing Address - Country:US
Mailing Address - Phone:636-477-0843
Mailing Address - Fax:
Practice Address - Street 1:12509 DORSETT RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3909
Practice Address - Country:US
Practice Address - Phone:314-434-4224
Practice Address - Fax:314-434-6119
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO40203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist