Provider Demographics
NPI:1588736862
Name:SCHNEIDER-HERNADEZ, CRYSTAL D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:D
Last Name:SCHNEIDER-HERNADEZ
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 1:9949 N WOODSTONE TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8913
Mailing Address - Country:US
Mailing Address - Phone:520-293-3007
Mailing Address - Fax:520-258-0698
Practice Address - Street 1:7091 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1241
Practice Address - Country:US
Practice Address - Phone:520-721-5777
Practice Address - Fax:520-258-0698
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist