Provider Demographics
NPI:1679911523
Name:SCHROEDER, ERICA ERIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ERIN
Last Name:SCHROEDER
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 1:122 ELM AVE E STE A
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2927
Mailing Address - Country:US
Mailing Address - Phone:507-360-6304
Mailing Address - Fax:507-835-1540
Practice Address - Street 1:122 ELM AVE E STE A
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2927
Practice Address - Country:US
Practice Address - Phone:507-360-6304
Practice Address - Fax:507-835-1540
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist