Basic Information
| Provider Information | |||||||||
| NPI: | 1588736862 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHNEIDER-HERNADEZ | ||||||||
| FirstName: | CRYSTAL | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9949 N WOODSTONE TRL | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857428913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202933007 | ||||||||
| FaxNumber: | 5202580698 | ||||||||
| Practice Location | |||||||||
| Address1: | 7091 E SPEEDWAY BLVD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857101241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207215777 | ||||||||
| FaxNumber: | 5202580698 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2006 | ||||||||
| LastUpdateDate: | 01/23/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 12317 | AZ | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.