Provider Demographics
NPI:1265322689
Name:SCHNEIDER, OLIVIA MAE (PHARMD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:MAE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:MAE
Other - Last Name:BOELK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:523 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53050-1226
Mailing Address - Country:US
Mailing Address - Phone:920-427-1669
Mailing Address - Fax:
Practice Address - Street 1:377 N ROLLING MEADOWS DR
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54937-9726
Practice Address - Country:US
Practice Address - Phone:920-427-1669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23036-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist