Provider Demographics
NPI:1811358591
Name:SCHUMMER, MARK (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:SCHUMMER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5153
Mailing Address - Country:US
Mailing Address - Phone:406-690-4263
Mailing Address - Fax:406-443-5889
Practice Address - Street 1:603 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3885
Practice Address - Country:US
Practice Address - Phone:406-442-9800
Practice Address - Fax:406-443-5889
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist