Provider Demographics
NPI:1861681157
Name:SCHULE, TRAVIS TIMOTHY (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:TIMOTHY
Last Name:SCHULE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 SILVER TIP RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-8531
Mailing Address - Country:US
Mailing Address - Phone:406-257-4806
Mailing Address - Fax:
Practice Address - Street 1:202 2ND AVE W
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4488
Practice Address - Country:US
Practice Address - Phone:406-257-4806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist