Provider Demographics
NPI:1023610342
Name:SCHOEPE, MOLINDA LOU
Entity type:Individual
Prefix:
First Name:MOLINDA
Middle Name:LOU
Last Name:SCHOEPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:GNADENHUTTEN
Mailing Address - State:OH
Mailing Address - Zip Code:44629-0005
Mailing Address - Country:US
Mailing Address - Phone:740-502-4150
Mailing Address - Fax:
Practice Address - Street 1:23605 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9262
Practice Address - Country:US
Practice Address - Phone:740-622-1292
Practice Address - Fax:740-622-1292
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03312990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist