Individual
DR. ROSELLE MARBAN SCHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
22312 W 58TH TER, SHAWNEE, KS 66226-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44256
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44256
MO
1835P1200X
Pharmacotherapy Pharmacist
44256
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12741
PHARMACY STATE LICENSE
KS
01
—
44256
PHARMACY STATE LICENSE
MO
Enumeration date
04/12/2006
Last updated
04/09/2012
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