MEDICARE: STEVEN EDWARD SCHLAFKE

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	18373	IA

General Provider Information

NPI Number	:	1528524469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN EDWARD SCHLAFKE

Provider Business Mailing Address
First Line	:	PO BOX 369
Second Line	:
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063-0369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 14TH ST
Second Line	:
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063-2075
Country	:	US
Telephone Number	:	515-992-3784
Fax Number	:	515-992-4067

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

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	02/15/2019

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Directions to “ STEVEN EDWARD SCHLAFKE ” Practice Location

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