Provider Demographics
NPI:1285398248
Name:SCHNEIDER, INNA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:INNA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 VALLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5235
Mailing Address - Country:US
Mailing Address - Phone:443-286-3468
Mailing Address - Fax:
Practice Address - Street 1:2710 VALLEY PARK DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-5235
Practice Address - Country:US
Practice Address - Phone:443-286-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty