Provider Demographics
NPI:1134428618
Name:SCHONEMANN, REBECCA KAREN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:KAREN
Last Name:SCHONEMANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:KAREN
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1309 GRIFFIN AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-7208
Mailing Address - Country:US
Mailing Address - Phone:505-675-5821
Mailing Address - Fax:
Practice Address - Street 1:1309 GRIFFIN AVE APT 6
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-7208
Practice Address - Country:US
Practice Address - Phone:505-675-5821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044413183500000X
MO12414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist