Provider Demographics
NPI:1053698415
Name:SCHULTE, ADAM JOHN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JOHN
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 W VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-9288
Mailing Address - Country:US
Mailing Address - Phone:402-471-7805
Mailing Address - Fax:402-471-7861
Practice Address - Street 1:2620 W VAN DORN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-9288
Practice Address - Country:US
Practice Address - Phone:402-471-7805
Practice Address - Fax:402-471-7861
Is Sole Proprietor?:No
Enumeration Date:2011-11-12
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120642183500000X
WI16479-040183500000X
NE14371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist