MEDICARE: JOHANNA RENE SCHERER PHARM D

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	19333	IA

General Provider Information

NPI Number	:	1528352564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA RENE SCHERER PHARM D

Provider Business Mailing Address
First Line	:	1030 BLAIRS FERRY RD NE
Second Line	:	T-1768
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-1220
Country	:	US
Telephone Number	:	319-393-4348
Fax Number	:	319-393-4348

Provider Business Practice Location Address
First Line	:	1030 BLAIRS FERRY RD NE
Second Line	:	T-1768
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-1220
Country	:	US
Telephone Number	:	319-393-4348
Fax Number	:	319-393-4348

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	06/07/2011

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