Individual
DAVID M SCHACKOW SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11 S 11TH ST, NILES, MI 49120-2757
(269) 684-6556
(269) 687-6365
Mailing address
54874 KRISTI LN, OSCEOLA, IN 46561-9237
(574) 674-4217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021153
MI
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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