Provider Demographics
NPI:1154878411
Name:SCHATZKE, ALLISON (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SCHATZKE
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 8TH ST S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-4203
Mailing Address - Country:US
Mailing Address - Phone:218-291-0242
Mailing Address - Fax:
Practice Address - Street 1:2605 8TH ST S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-4203
Practice Address - Country:US
Practice Address - Phone:218-291-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-04
Last Update Date:2016-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117796183500000X
ND4931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist