Provider Demographics
NPI:1477890556
Name:SCHAUB, DOREEN ANN (RPH)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:ANN
Last Name:SCHAUB
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 1:19390 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3041
Mailing Address - Country:US
Mailing Address - Phone:352-796-2928
Mailing Address - Fax:352-796-2929
Practice Address - Street 1:19390 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-3041
Practice Address - Country:US
Practice Address - Phone:352-796-2928
Practice Address - Fax:352-796-2929
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist