Provider Demographics
NPI:1467631705
Name:FREDERICK SCHMID INC
Entity Type:Organization
Organization Name:FREDERICK SCHMID INC
Other - Org Name:DEXTER PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-426-1600
Mailing Address - Street 1:2820 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-1114
Mailing Address - Country:US
Mailing Address - Phone:734-426-1600
Mailing Address - Fax:734-426-6780
Practice Address - Street 1:2820 BAKER RD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-1114
Practice Address - Country:US
Practice Address - Phone:734-426-1600
Practice Address - Fax:734-426-6780
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREDERICK SCHMID INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-02
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0214450002Medicare NSC