Provider Demographics
NPI:1932495330
Name:SCHLAGETER, DEREK (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:
Last Name:SCHLAGETER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 WET STONE WAY
Mailing Address - Street 2:APT 301
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-4162
Mailing Address - Country:US
Mailing Address - Phone:419-376-4282
Mailing Address - Fax:
Practice Address - Street 1:2580 COURT DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2139
Practice Address - Country:US
Practice Address - Phone:704-810-3681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC21386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist