Provider Demographics
NPI:1881011674
Name:SCHNEIDER, JESSICA RUTH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RUTH
Last Name:SCHNEIDER
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 1:1416 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2528
Mailing Address - Country:US
Mailing Address - Phone:909-206-8998
Mailing Address - Fax:
Practice Address - Street 1:1416 HUNTER DR
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2528
Practice Address - Country:US
Practice Address - Phone:909-206-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH70469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist