Provider Demographics
NPI:1386782894
Name:SCHMID, MICHELLE LEE (RPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:SCHMID
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 ROAD 163
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:NE
Mailing Address - Zip Code:69154-6040
Mailing Address - Country:US
Mailing Address - Phone:308-772-4012
Mailing Address - Fax:
Practice Address - Street 1:650 2ND STREET
Practice Address - Street 2:
Practice Address - City:CHAPPELL
Practice Address - State:NE
Practice Address - Zip Code:69129-0368
Practice Address - Country:US
Practice Address - Phone:308-874-2200
Practice Address - Fax:308-874-3379
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist