Provider Demographics
NPI:1508317108
Name:SCHUTTINGER, CARLIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARLIE
Middle Name:
Last Name:SCHUTTINGER
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 1:2006 RTE 35
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2543
Mailing Address - Country:US
Mailing Address - Phone:732-282-0719
Mailing Address - Fax:
Practice Address - Street 1:2006 RTE 35
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-2543
Practice Address - Country:US
Practice Address - Phone:732-282-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03825300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist