Provider Demographics
NPI:1194735704
Name:SCHIPPERS, TODD ALAN (RPH)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:ALAN
Last Name:SCHIPPERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5964 QUAIL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:IA
Mailing Address - Zip Code:50170-8584
Mailing Address - Country:US
Mailing Address - Phone:641-259-2695
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist