Provider Demographics
NPI:1093545311
Name:SCHULTZ, RYLEE MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:MARIE
Last Name:SCHULTZ
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 1:30201 PHILIP SMITH RD
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3339
Mailing Address - Country:US
Mailing Address - Phone:985-788-7545
Mailing Address - Fax:
Practice Address - Street 1:2915 HIGHWAY 190
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3298
Practice Address - Country:US
Practice Address - Phone:985-626-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist