Provider Demographics
NPI:1437749801
Name:SCHOCH, MEREDITH LEE (PHARMD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEE
Last Name:SCHOCH
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 1:902 W EAGLE PASS ST
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830-2316
Mailing Address - Country:US
Mailing Address - Phone:217-971-7860
Mailing Address - Fax:
Practice Address - Street 1:909 E HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-5023
Practice Address - Country:US
Practice Address - Phone:432-837-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist