Provider Demographics
NPI:1558641043
Name:SCHWAB, STEPHEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4352
Mailing Address - Country:US
Mailing Address - Phone:563-599-6619
Mailing Address - Fax:
Practice Address - Street 1:345 E 20TH ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3514
Practice Address - Country:US
Practice Address - Phone:563-690-1836
Practice Address - Fax:563-690-1842
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist