Provider Demographics
NPI:1104902493
Name:SCHEDDELL & WENDT BROS. DRUGS
Entity type:Organization
Organization Name:SCHEDDELL & WENDT BROS. DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:STRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:219-766-3327
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:KOUTS
Mailing Address - State:IN
Mailing Address - Zip Code:46347-0269
Mailing Address - Country:US
Mailing Address - Phone:219-766-3327
Mailing Address - Fax:
Practice Address - Street 1:207 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KOUTS
Practice Address - State:IN
Practice Address - Zip Code:46347-9412
Practice Address - Country:US
Practice Address - Phone:219-766-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26011893A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN15-12765OtherNDC NUMBER