Provider Demographics
NPI:1194234195
Name:SCHNEIDMULLER, DOUGLAS GEORGE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:GEORGE
Last Name:SCHNEIDMULLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-2211
Mailing Address - Country:US
Mailing Address - Phone:518-271-0311
Mailing Address - Fax:
Practice Address - Street 1:1901 2ND AVE
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-2211
Practice Address - Country:US
Practice Address - Phone:518-271-0311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist