Provider Demographics
NPI:1497361984
Name:SCHUMITSCH-JEWELL, SYDNEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SCHUMITSCH-JEWELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713
Mailing Address - Country:US
Mailing Address - Phone:608-257-0804
Mailing Address - Fax:608-257-8549
Practice Address - Street 1:2121 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713
Practice Address - Country:US
Practice Address - Phone:608-257-0804
Practice Address - Fax:608-257-8549
Is Sole Proprietor?:No
Enumeration Date:2020-09-20
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2052440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist