Provider Demographics
NPI:1902865033
Name:SCHUBERT, KARRY A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KARRY
Middle Name:A
Last Name:SCHUBERT
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 1:24030 STABLE LN
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-3446
Mailing Address - Country:US
Mailing Address - Phone:912-409-3426
Mailing Address - Fax:
Practice Address - Street 1:143 REPLACEMENT AVE
Practice Address - Street 2:PX BLDG 487
Practice Address - City:FORT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473
Practice Address - Country:US
Practice Address - Phone:573-596-1709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012181183500000X
GARPH021474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist