Provider Demographics
NPI:1912523291
Name:SCHROYER, TALON LEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:TALON
Middle Name:LEE
Last Name:SCHROYER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-8303
Mailing Address - Country:US
Mailing Address - Phone:937-578-3609
Mailing Address - Fax:
Practice Address - Street 1:1017 CREEKVIEW DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-8303
Practice Address - Country:US
Practice Address - Phone:937-578-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist