Provider Demographics
NPI:1750675435
Name:SCHULTZ, WARREN LESTER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:LESTER
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 HIGHWAY 74 S
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3072
Mailing Address - Country:US
Mailing Address - Phone:770-631-3766
Mailing Address - Fax:
Practice Address - Street 1:1232 HIGHWAY 74 S
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3072
Practice Address - Country:US
Practice Address - Phone:770-631-3766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11142183500000X
TN2165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist