Provider Demographics
NPI:1285263541
Name:CHAPA, BRICE SCHROEDER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRICE
Middle Name:SCHROEDER
Last Name:CHAPA
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 1:1750 W TRAVERSE PKWY
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5978
Mailing Address - Country:US
Mailing Address - Phone:385-352-8020
Mailing Address - Fax:
Practice Address - Street 1:1750 W TRAVERSE PKWY
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5978
Practice Address - Country:US
Practice Address - Phone:385-352-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18640183500000X
UT14190424-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist