Provider Demographics
NPI:1740719467
Name:SCHULTZ, CHELSEA LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LYNN
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 1:1040 LECLERC PL
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8804
Mailing Address - Country:US
Mailing Address - Phone:419-206-2764
Mailing Address - Fax:
Practice Address - Street 1:548 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-1203
Practice Address - Country:US
Practice Address - Phone:740-335-4062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist