Provider Demographics
NPI:1760087654
Name:SCHMELTZLE, SUZANNE M (RPH)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:M
Last Name:SCHMELTZLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-1912
Mailing Address - Country:US
Mailing Address - Phone:908-852-2024
Mailing Address - Fax:908-552-2673
Practice Address - Street 1:85 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1912
Practice Address - Country:US
Practice Address - Phone:908-852-2024
Practice Address - Fax:908-552-2673
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03871000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist