Provider Demographics
NPI:1811513633
Name:SCHROEDER, ERIN PATRICIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:PATRICIA
Last Name:SCHROEDER
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 1:3724 W SUGARBERRY CT SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-9490
Mailing Address - Country:US
Mailing Address - Phone:313-408-8497
Mailing Address - Fax:
Practice Address - Street 1:3724 W SUGARBERRY CT SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-9490
Practice Address - Country:US
Practice Address - Phone:313-408-8497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042661183500000X
MI5315123589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist