Provider Demographics
NPI:1629389440
Name:SCHLEMMER, MARC WINTER (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:WINTER
Last Name:SCHLEMMER
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 1:401 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-1207
Mailing Address - Country:US
Mailing Address - Phone:423-743-4662
Mailing Address - Fax:
Practice Address - Street 1:401 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-1207
Practice Address - Country:US
Practice Address - Phone:423-743-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0033327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist