Provider Demographics
NPI:1972690535
Name:SCHULTZ, DUANE G (RPH)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:G
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125-1102
Mailing Address - Country:US
Mailing Address - Phone:585-948-5669
Mailing Address - Fax:
Practice Address - Street 1:419 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1284
Practice Address - Country:US
Practice Address - Phone:585-344-0525
Practice Address - Fax:585-344-1478
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist