Provider Demographics
NPI:1194105627
Name:SCHROEDER, ALLISON (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 IDALIA CT
Mailing Address - Street 2:#3-103
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-9026
Mailing Address - Country:US
Mailing Address - Phone:712-539-0173
Mailing Address - Fax:
Practice Address - Street 1:199 IDALIA CT
Practice Address - Street 2:#3-103
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9026
Practice Address - Country:US
Practice Address - Phone:712-539-0173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16846183500000X
CO00199021835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist