Healthcare Provider Details

I. General information

NPI: 1952384547
Provider Name (Legal Business Name): JERROLD EDWARD SCHRIER PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8990 CAPE WINDHAM PL
ORANGEVALE CA
95662-4162
US

IV. Provider business mailing address

8990 CAPE WINDHAM PL
ORANGEVALE CA
95662-4162
US

V. Phone/Fax

Practice location:
  • Phone: 916-988-7622
  • Fax: 916-787-0755
Mailing address:
  • Phone: 916-988-7622
  • Fax: 916-787-0755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: