Provider Demographics
NPI:1427465723
Name:SCHROEDER, KARA (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10874 ROAD R
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830-9796
Mailing Address - Country:US
Mailing Address - Phone:419-615-3616
Mailing Address - Fax:
Practice Address - Street 1:10874 ROAD R
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830-9796
Practice Address - Country:US
Practice Address - Phone:419-615-3616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist