Provider Demographics
NPI:1861126526
Name:SCHOELLMAN, KIRILL MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIRILL
Middle Name:MICHAEL
Last Name:SCHOELLMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S ARMENIA AVE UNIT 1229B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3551
Mailing Address - Country:US
Mailing Address - Phone:317-730-5602
Mailing Address - Fax:
Practice Address - Street 1:2115 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-8211
Practice Address - Country:US
Practice Address - Phone:813-237-3743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029743A183500000X
FLPS65714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist