Provider Demographics
NPI:1710723903
Name:SCHOONOVER, EVANGELINE MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:EVANGELINE
Middle Name:MARIE
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 OLIVER RD NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-3742
Mailing Address - Country:US
Mailing Address - Phone:540-309-1384
Mailing Address - Fax:
Practice Address - Street 1:7400 SUNNYBROOK DR STE 1
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-4258
Practice Address - Country:US
Practice Address - Phone:540-366-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022162041835C0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations