Provider Demographics
NPI:1881996031
Name:SCHROTER, REYAN (RPH)
Entity type:Individual
Prefix:
First Name:REYAN
Middle Name:
Last Name:SCHROTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:REYAN
Other - Middle Name:
Other - Last Name:DENKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 E CITY LINE AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2448
Mailing Address - Country:US
Mailing Address - Phone:610-667-7489
Mailing Address - Fax:610-667-8198
Practice Address - Street 1:121 E CITY LINE AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2448
Practice Address - Country:US
Practice Address - Phone:610-667-7489
Practice Address - Fax:610-667-8198
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist