Healthcare Provider Details

I. General information

NPI: 1679484828
Provider Name (Legal Business Name): RYLEY SCHAEFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 GREELY CHAPEL RD
LIMA OH
45804-4162
US

IV. Provider business mailing address

3839 MERCER AUG CNTY LINE RD
NEW BREMEN OH
45869-9520
US

V. Phone/Fax

Practice location:
  • Phone: 419-221-1611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447001
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: