Healthcare Provider Details
I. General information
NPI: 1831528686
Provider Name (Legal Business Name): JASON ALBERT SCHROER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2013
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3150 E SHIELDS AVE STE 105
FRESNO CA
93726-6901
US
IV. Provider business mailing address
29412 AUBERRY RD
PRATHER CA
93651
US
V. Phone/Fax
- Phone: 559-223-9090
- Fax: 559-223-9091
- Phone: 559-855-4220
- Fax: 559-855-4225
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 63235 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: