Provider Demographics
NPI:1144819442
Name:SCHOBER, MEGAN ARLENE (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ARLENE
Last Name:SCHOBER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ARLENE
Other - Last Name:COOMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5091 US 41 S
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-9001
Mailing Address - Country:US
Mailing Address - Phone:906-249-1441
Mailing Address - Fax:906-249-9850
Practice Address - Street 1:5091 US 41 S
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-9001
Practice Address - Country:US
Practice Address - Phone:906-249-1441
Practice Address - Fax:906-249-9850
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5315102131OtherSTATE OF MICHIGAN CONTROLLED SUBSTANCE LICENSE
MI5302040667OtherMICHIGAN PHARMACIST LICENSE