Provider Demographics
NPI:1124650304
Name:SCHEMANSKY, KRISTIE MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MARIE
Last Name:SCHEMANSKY
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 1:1545 FRED W MOORE HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-5295
Mailing Address - Country:US
Mailing Address - Phone:810-326-1381
Mailing Address - Fax:
Practice Address - Street 1:1545 FRED W MOORE HWY
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-5295
Practice Address - Country:US
Practice Address - Phone:810-326-1381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302037460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist