Provider Demographics
NPI:1609812858
Name:SCHOTT, RYAN (RPH)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WEST ST
Mailing Address - Street 2:
Mailing Address - City:GALETON
Mailing Address - State:PA
Mailing Address - Zip Code:16922-1136
Mailing Address - Country:US
Mailing Address - Phone:814-435-6588
Mailing Address - Fax:814-435-1073
Practice Address - Street 1:20 WEST ST
Practice Address - Street 2:
Practice Address - City:GALETON
Practice Address - State:PA
Practice Address - Zip Code:16922-1136
Practice Address - Country:US
Practice Address - Phone:814-435-6588
Practice Address - Fax:814-435-1073
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039418L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist