MEDICARE: MR. RICHARD C. SCHAEFER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	E8233	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134256621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD C. SCHAEFER RPH

Provider Business Mailing Address
First Line	:	7059 KILN PICAYUNE RD
Second Line	:
City	:	KILN
State	:	MS
Zip	:	39556-8365
Country	:	US
Telephone Number	:	228-863-9174
Fax Number	:	228-863-9174

Provider Business Practice Location Address
First Line	:	109 N CLEVELAND AVE
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-4713
Country	:	US
Telephone Number	:	228-863-9174
Fax Number	:	228-863-9174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. RICHARD C. SCHAEFER RPH” Practice Location

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