Provider Demographics
NPI:1740493816
Name:SCHUMER, PAULINDA SUE (RPH)
Entity type:Individual
Prefix:
First Name:PAULINDA
Middle Name:SUE
Last Name:SCHUMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 COUNTY HIGHWAY 524
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:MO
Mailing Address - Zip Code:63870-9150
Mailing Address - Country:US
Mailing Address - Phone:573-276-4691
Mailing Address - Fax:573-614-4292
Practice Address - Street 1:1226 W BUSINESS US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2706
Practice Address - Country:US
Practice Address - Phone:573-614-4243
Practice Address - Fax:573-614-4292
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist