Healthcare Provider Details

I. General information

NPI: 1710156153
Provider Name (Legal Business Name): JERRY M SCHROER PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29412 AUBERRY RD
PRATHER CA
93651-9719
US

IV. Provider business mailing address

26274 DRY POND RD
CLOVIS CA
93619-9630
US

V. Phone/Fax

Practice location:
  • Phone: 559-855-4220
  • Fax: 559-855-4211
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27262
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: