Provider Demographics
NPI:1861775124
Name:SCHMIDT, VICKI L (RPH)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:L
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 SW 43RD CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1632
Mailing Address - Country:US
Mailing Address - Phone:785-267-4686
Mailing Address - Fax:
Practice Address - Street 1:5906 SW 43RD CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-1632
Practice Address - Country:US
Practice Address - Phone:785-267-4686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS09991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist