Provider Demographics
NPI:1558690008
Name:SCHUYLER, CARLA JEAN (RPH)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:JEAN
Last Name:SCHUYLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:JEAN
Other - Last Name:HOAGLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5418 QUAMBY RD
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-6926
Mailing Address - Country:US
Mailing Address - Phone:315-699-7270
Mailing Address - Fax:
Practice Address - Street 1:301 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-4568
Practice Address - Country:US
Practice Address - Phone:317-443-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47022183500000X
IN26019503A183500000X
FLPS41906183500000X
SC10043183500000X
NY055916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist