MEDICARE: JOSEPHINE SHAFER PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1-13361	KS

General Provider Information

NPI Number	:	1740718436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE SHAFER PHARMD

Provider Business Mailing Address
First Line	:	16124 FOSTER ST
Second Line	:
City	:	STILWELL
State	:	KS
Zip	:	66085-8417
Country	:	US
Telephone Number	:	844-237-3561
Fax Number	:	844-237-3562

Provider Business Practice Location Address
First Line	:	16124 FOSTER ST
Second Line	:
City	:	STILWELL
State	:	KS
Zip	:	66085-8417
Country	:	US
Telephone Number	:	844-237-3561
Fax Number	:	844-237-3562

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

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	07/21/2022

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Directions to “ JOSEPHINE SHAFER PHARMD” Practice Location

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