Provider Demographics
NPI:1982204400
Name:SCHOLTEN, CHELSEA JOLYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JOLYNN
Last Name:SCHOLTEN
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 1:800 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-2838
Mailing Address - Country:US
Mailing Address - Phone:605-770-4765
Mailing Address - Fax:
Practice Address - Street 1:1101 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4867
Practice Address - Country:US
Practice Address - Phone:605-995-6845
Practice Address - Fax:605-995-6857
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist