Healthcare Provider Details

I. General information

NPI: 1285813063
Provider Name (Legal Business Name): CARMEN MARIA SCHAEFER R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMEN MARIA LOIBL R.PH.

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 HOOKER AVE
POUGHKEEPSIE NY
12603-3326
US

IV. Provider business mailing address

238 HOOKER AVE
POUGHKEEPSIE NY
12603-3326
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-6166
  • Fax:
Mailing address:
  • Phone: 845-486-6166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number040494
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: