MEDICARE: MADELINE SCHAEFER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	31762	NC

General Provider Information

NPI Number	:	1225991045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE SCHAEFER PHARMD

Provider Business Mailing Address
First Line	:	8401 UNIVERSITY EXEC PARK DR STE 127
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 ROCKY RIVER RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9526
Country	:	US
Telephone Number	:	704-316-3612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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