Provider Demographics
NPI:1487259636
Name:SCHUMAKER, BRUCE (RPH)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:SCHUMAKER
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 1:303 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-2468
Mailing Address - Country:US
Mailing Address - Phone:715-425-8494
Mailing Address - Fax:715-425-8405
Practice Address - Street 1:303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022-2468
Practice Address - Country:US
Practice Address - Phone:715-425-8494
Practice Address - Fax:715-425-8405
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12826-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist