Provider Demographics
NPI:1861869588
Name:SCHWAB, JENALEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENALEE
Middle Name:
Last Name:SCHWAB
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 1:463 WESTFIELD BLVD APT 228
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5325
Mailing Address - Country:US
Mailing Address - Phone:319-493-2042
Mailing Address - Fax:
Practice Address - Street 1:201 E CENTRAL EXPY
Practice Address - Street 2:SUITE 300
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548
Practice Address - Country:US
Practice Address - Phone:254-953-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist