Provider Demographics
NPI:1154606564
Name:SCHLOMER, NELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:NELLE
Middle Name:
Last Name:SCHLOMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NELLE
Other - Middle Name:
Other - Last Name:BALSIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1140 E 5TH ST
Mailing Address - Street 2:PO BOX 70
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2149
Mailing Address - Country:US
Mailing Address - Phone:605-842-3242
Mailing Address - Fax:
Practice Address - Street 1:1140 E 5TH ST
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-2149
Practice Address - Country:US
Practice Address - Phone:605-842-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5490183500000X
NE12474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist