Individual
DR. DANIEL SCHAUWECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
570 S STATE ST, SHELLEY, ID 83274-1470
(208) 357-0495
Mailing address
845 PEARL DR, BLACKFOOT, ID 83221-1543
(541) 231-8381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6497
ID
183500000X
Pharmacist
RPH-0010195
OR
Other
Enumeration date
08/02/2014
Last updated
05/21/2024
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