Provider Demographics
NPI:1568648020
Name:SCHUMAKER, BETH MARIE IKENHOFFER (RPH)
Entity Type:Individual
Prefix:MS
First Name:BETH MARIE
Middle Name:IKENHOFFER
Last Name:SCHUMAKER
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 1:29 ALFRED DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2909
Mailing Address - Country:US
Mailing Address - Phone:518-489-6651
Mailing Address - Fax:
Practice Address - Street 1:1901 2ND AVE
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-2211
Practice Address - Country:US
Practice Address - Phone:518-271-0311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist