Provider Demographics
NPI:1659551265
Name:SCHRAM, NEIL THOMAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:THOMAS
Last Name:SCHRAM
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 1:1711 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5628
Mailing Address - Country:US
Mailing Address - Phone:315-797-1790
Mailing Address - Fax:315-733-1840
Practice Address - Street 1:1711 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5628
Practice Address - Country:US
Practice Address - Phone:315-797-1790
Practice Address - Fax:315-733-1840
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist