Provider Demographics
NPI:1639956030
Name:SCHNELL, TAMARA STANLEY (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:STANLEY
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 BALTUSROL DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8735
Mailing Address - Country:US
Mailing Address - Phone:704-842-0694
Mailing Address - Fax:
Practice Address - Street 1:1257 25TH STREET PL SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9658
Practice Address - Country:US
Practice Address - Phone:800-949-6337
Practice Address - Fax:800-949-4898
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist