Provider Demographics
NPI:1770859381
Name:SCHAUWECKER, LINDA LOU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOU
Last Name:SCHAUWECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:862 EAGLEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-6614
Mailing Address - Country:US
Mailing Address - Phone:541-231-8380
Mailing Address - Fax:
Practice Address - Street 1:702 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1521
Practice Address - Country:US
Practice Address - Phone:208-263-9638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6418183500000X
ORRPH0011838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist