Provider Demographics
NPI:1104148840
Name:SCHUMAN, MILES CECIL (RPH)
Entity type:Individual
Prefix:MR
First Name:MILES
Middle Name:CECIL
Last Name:SCHUMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 28216
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09173-8216
Mailing Address - Country:US
Mailing Address - Phone:947-238-3603
Mailing Address - Fax:
Practice Address - Street 1:UNIT 28216
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09173-8216
Practice Address - Country:US
Practice Address - Phone:947-238-3603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS012061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist