Provider Demographics
NPI:1265710370
Name:GERRARD, TRUDY SCHNEIDER (PHARMD)
Entity type:Individual
Prefix:
First Name:TRUDY
Middle Name:SCHNEIDER
Last Name:GERRARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:ELIZABETH
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1544 PIEDMONT AVE NE
Mailing Address - Street 2:STORE 0599
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5018
Mailing Address - Country:US
Mailing Address - Phone:404-724-0932
Mailing Address - Fax:
Practice Address - Street 1:1544 PIEDMONT AVE NE
Practice Address - Street 2:STORE 0599
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5018
Practice Address - Country:US
Practice Address - Phone:404-724-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist