Provider Demographics
NPI:1942322102
Name:SCHOMMER, ANDREA EVA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:EVA
Last Name:SCHOMMER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:EVA
Other - Last Name:BROUSAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:18522 28TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-4135
Mailing Address - Country:US
Mailing Address - Phone:206-973-9222
Mailing Address - Fax:
Practice Address - Street 1:18522 28TH AVE NE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-4135
Practice Address - Country:US
Practice Address - Phone:206-973-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist